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Montana rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,574.82 / $12,399.10 / $12,399.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.34 / $3,421.48 / $3,421.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.34 / $2,782.37 / $3,421.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.94 / $3,258.55 / $3,421.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.34 / $2,567.96 / $3,747.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.29 / $1,607.95 / $2,550.19