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Montana rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $47.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $47.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00