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Montana rates for HCPCS L6648

Upper Extremity Addition Shoulder Lock Mechanism External Powered Actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,188.33 / $11,058.60 / $11,058.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.30 / $4,168.51 / $4,168.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.30 / $3,389.87 / $4,168.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.82 / $3,970.01 / $4,168.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.30 / $3,128.64 / $4,171.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.79 / $1,750.12 / $2,696.88