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Montana rates for HCPCS L6905

Hand Restoration (Casts Shading And Measurements Included) Partial Hand With Glove Multiple Fingers Remaining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.53 / $6,779.20 / $6,779.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.90 / $1,850.32 / $1,850.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.90 / $1,543.87 / $1,850.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.47 / $1,762.21 / $1,850.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.75 / $1,498.90 / $2,026.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.59 / $879.14 / $1,354.74