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Montana rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,039.58 / $10,542.60 / $10,542.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,696.10 / $3,696.10 / $3,696.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $3,974.05 / $3,974.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.80 / $3,231.74 / $3,974.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,864.57 / $3,784.81 / $3,974.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.80 / $2,982.70 / $3,976.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.99 / $1,668.47 / $2,571.06