go back

Montana rates for HCPCS L6690

Upper Extremity Addition Frame Type Socket Interscapular- Thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.56 / $2,891.13 / $2,891.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.50 / $866.58 / $866.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.50 / $741.45 / $866.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.13 / $825.31 / $866.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.40 / $695.50 / $953.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.13 / $411.74 / $653.01