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Montana rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $478.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $870.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $446.68 / $602.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $363.08 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $316.23 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $323.59