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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
$2,570.40 / $3,715.35 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $5,128.61 / $6,309.57
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,888.44 / $11,481.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,888.44 / $11,481.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,370.32 / $6,606.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $4,786.30 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,290.87 / $3,548.13