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Montana rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.40 / $528.62 / $528.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.76 / $140.76 / $140.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $151.35 / $151.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.07 / $123.08 / $151.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.36 / $144.13 / $151.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.07 / $113.60 / $151.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $71.91 / $110.81