go back

Montana rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $1,800,000.00 / $2,400,000.00