go back

Montana rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,311.31 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,388.44 / $3,981.07
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $7,244.36
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $7,244.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $5,495.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,311.31 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,884.03 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,905.46 / $2,951.21