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Montana rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,782.66 / $9,651.53 / $9,651.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,383.65 / $3,383.65 / $3,383.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $3,638.10 / $3,638.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.07 / $2,958.54 / $3,638.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.96 / $3,464.86 / $3,638.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.07 / $2,730.56 / $3,640.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,301.38 / $2,301.38 / $2,418.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.52 / $1,527.44 / $2,353.73