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Montana rates for HCPCS L6570

Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,826.64 / $20,209.40 / $20,209.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.38 / $6,630.25 / $6,630.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,943.38 / $5,391.77 / $6,630.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,928.84 / $6,314.52 / $6,630.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,943.38 / $4,976.29 / $6,635.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.73 / $2,620.82 / $4,368.03