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Montana rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.60 / $1,562.89 / $1,562.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $426.57 / $426.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.67 / $346.90 / $426.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.50 / $406.26 / $426.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.67 / $320.17 / $444.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.19 / $202.68 / $321.45