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Montana rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $346.86 / $346.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $88.05 / $88.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $94.67 / $94.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $76.98 / $94.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.26 / $90.16 / $94.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $71.06 / $103.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $44.98 / $69.31