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Montana rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $741.31 / $912.01
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,659.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $870.96 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $676.08 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $524.81 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $537.03