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Montana rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,433.26 / $15,376.50 / $15,376.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.90 / $4,706.57 / $4,706.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,523.90 / $3,827.44 / $4,706.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.80 / $4,482.45 / $4,706.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,523.90 / $3,532.49 / $5,070.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.79 / $2,180.52 / $3,458.29