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Montana rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,446.18 / $11,952.90 / $11,952.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $3,564.89 / $3,564.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.82 / $2,899.00 / $3,564.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.27 / $3,395.13 / $3,564.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.82 / $2,675.61 / $3,682.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.99 / $1,550.09 / $2,388.64