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Montana rates for HCPCS L6680

Upper extremity addition, test socket, wrist disarticulation or below elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.85 / $1,071.22 / $1,071.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $288.00 / $288.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.64 / $309.66 / $309.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.64 / $251.81 / $309.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.26 / $294.91 / $309.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.64 / $232.41 / $309.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.56 / $138.91 / $231.54