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Montana rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.97 / $1,473.99 / $1,473.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.27 / $402.31 / $402.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.27 / $327.16 / $402.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.62 / $383.15 / $402.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.95 / $305.27 / $440.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.76 / $191.15 / $294.56