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Montana rates for HCPCS L6620

Upper extremity addition, flexion/extension wrist unit, with or without friction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.53 / $1,323.32 / $1,323.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.74 / $398.74 / $398.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $428.73 / $428.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.48 / $348.64 / $428.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.90 / $408.31 / $428.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.48 / $321.77 / $429.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.09 / $181.55 / $287.95