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Montana rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,829.43 / $27,156.00 / $27,156.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $10,177.20 / $10,177.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,553.03 / $8,276.20 / $10,177.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,055.16 / $9,692.58 / $10,177.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,553.03 / $7,638.45 / $10,184.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,088.42 / $4,523.51 / $7,174.26