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Montana rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $912.01 / $1,122.02
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $2,041.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $2,041.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $891.25 / $1,230.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $851.14 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $602.56 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $616.60