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Montana rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $549.54 / $676.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $616.60 / $1,202.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $645.65 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $501.19 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $478.63 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $316.23 / $489.78