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Montana rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $224.61 / $224.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.03 / $76.03 / $76.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $81.73 / $81.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $66.47 / $81.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.40 / $77.84 / $81.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $61.35 / $85.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.10 / $38.84 / $61.60