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Montana rates for HCPCS L6885

Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,240.22 / $14,707.00 / $14,707.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $4,014.13 / $4,014.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,264.33 / $4,014.13 / $4,014.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.40 / $3,822.98 / $4,014.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.79 / $3,297.39 / $4,396.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.80 / $1,907.24 / $3,024.88