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Montana rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,084.82 / $10,699.50 / $10,699.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $3,304.21 / $3,304.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.15 / $2,687.03 / $3,304.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.89 / $3,146.87 / $3,304.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.15 / $2,479.96 / $3,426.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.46 / $1,424.47 / $2,195.07