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Montana rates for HCPCS L6713

Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.31 / $5,311.29 / $5,311.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.56 / $2,002.08 / $2,002.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.56 / $2,002.08 / $2,002.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.56 / $1,906.74 / $2,002.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.87 / $1,535.94 / $2,003.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.70 / $840.55 / $1,333.11