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Montana rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.67 / $970.00 / $970.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $369.65 / $369.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.07 / $300.61 / $369.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.44 / $352.05 / $369.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.07 / $277.44 / $386.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.60 / $167.72 / $266.01