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Montana rates for HCPCS L6350

Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,981.07 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,754.40 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,677.35 / $5,754.40
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,370.32 / $10,471.29
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,370.32 / $10,471.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,128.61 / $6,760.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $4,365.16 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,548.13 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,344.23 / $3,630.78