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Montana rates for HCPCS L6300

Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,959.68 / $17,202.40 / $17,202.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $5,016.95 / $5,016.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,813.78 / $4,079.83 / $5,016.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,493.05 / $4,778.05 / $5,016.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,765.45 / $3,813.78 / $5,308.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.28 / $2,230.86 / $3,437.68