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Montana rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $89.13 / $109.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $102.33 / $199.53
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $199.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $79.43 / $125.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $81.28 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $58.88 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.90 / $60.26