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Montana rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $813.26 / $813.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $261.06 / $261.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.47 / $212.31 / $261.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.86 / $248.63 / $261.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.47 / $195.94 / $261.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.32 / $105.47 / $162.52