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Montana rates for HCPCS L6665

Upper Extremity Addition Teflon Or Equal Cable Lining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.51 / $171.73 / $171.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.98 / $53.98 / $53.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $58.03 / $58.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $47.20 / $58.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.82 / $55.27 / $58.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $43.56 / $58.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $27.58 / $42.50