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Montana rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.91 / $634.41 / $634.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.84 / $228.84 / $228.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $246.05 / $246.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.58 / $200.09 / $246.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.25 / $234.33 / $246.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.58 / $184.67 / $246.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.01 / $104.02 / $164.98