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Montana rates for HCPCS L7191

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,228.53 / $32,008.70 / $32,008.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $14,937.20 / $14,937.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,732.85 / $12,147.07 / $14,937.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.12 / $14,225.90 / $14,937.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,732.85 / $11,211.03 / $14,948.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,002.30 / $5,534.64 / $8,777.90