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Montana rates for HCPCS L6600

Upper extremity additions, polycentric hinge, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.71 / $866.08 / $866.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.51 / $236.40 / $236.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.51 / $207.36 / $236.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.52 / $225.14 / $236.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.43 / $194.51 / $236.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.51 / $112.32 / $178.13