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Montana rates for HCPCS L6676

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $421.00 / $559.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $178.44 / $178.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.54 / $145.10 / $178.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.15 / $169.94 / $178.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.54 / $133.91 / $178.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $72.62 / $115.17