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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
$6,760.83 / $8,511.38 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $14,791.08 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $12,022.64 / $14,791.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $13,803.84 / $26,915.35
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $13,803.84 / $26,915.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $11,220.18 / $16,982.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $11,220.18 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,317.64 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,495.41 / $8,511.38