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Montana rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,423.03 / $11,872.60 / $11,872.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $5,094.52 / $5,094.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.85 / $4,142.91 / $5,094.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.78 / $4,851.92 / $5,094.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.85 / $3,823.66 / $5,098.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.91 / $1,847.62 / $2,847.13