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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
$64.87 / $225.00 / $225.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $101.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $109.17 / $109.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $88.78 / $109.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.47 / $103.97 / $109.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $81.94 / $109.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $38.90 / $59.95