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Montana rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $467.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $436.52 / $851.14
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $436.52 / $562.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $346.74 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $295.12 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $302.00