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Montana rates for HCPCS L6550

Shoulder Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,076.33 / $17,607.00 / $17,607.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.34 / $6,372.27 / $6,372.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,532.34 / $5,181.99 / $6,372.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.69 / $6,068.83 / $6,372.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,532.34 / $4,782.67 / $6,376.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.71 / $2,283.32 / $3,621.34