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Montana rates for HCPCS L6320

Shoulder Disarticulation Passive Restoration (Shoulder Cap Only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.98 / $7,890.68 / $7,890.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $2,296.04 / $2,296.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.27 / $1,867.17 / $2,296.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.56 / $2,186.69 / $2,296.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.27 / $1,723.28 / $2,297.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.86 / $1,023.29 / $1,576.86