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Montana rates for HCPCS L6630

Upper Extremity Addition Stainless Steel Any Wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.18 / $746.33 / $746.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $271.61 / $271.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $220.87 / $271.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.22 / $258.68 / $271.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $203.86 / $271.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.44 / $194.44 / $204.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.64 / $129.05 / $204.67