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Montana rates for HCPCS L6714

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.02 / $4,498.64 / $4,498.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.71 / $1,695.72 / $1,695.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.71 / $1,695.72 / $1,695.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.71 / $1,614.97 / $1,695.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.71 / $1,272.71 / $1,696.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.46 / $711.94 / $1,097.08