go back

Montana rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,007.11 / $13,898.50 / $13,898.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,872.52 / $4,872.52 / $4,872.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $5,238.93 / $5,238.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,801.20 / $5,238.93 / $5,238.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.07 / $4,989.46 / $5,238.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,880.34 / $4,019.20 / $5,242.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.99 / $2,199.56 / $3,488.48