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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
$954.99 / $1,258.93 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,621.81 / $1,995.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $3,630.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,862.09 / $2,691.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,513.56 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,258.93 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,288.25