go back

Montana rates for HCPCS L6935

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,046.89 / $27,910.20 / $27,910.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,726.27 / $10,726.27 / $10,726.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $11,532.89 / $11,532.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,503.37 / $9,378.65 / $11,532.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,252.23 / $10,983.70 / $11,532.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,503.37 / $8,655.94 / $11,541.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,247.81 / $4,699.85 / $7,453.95