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Montana rates for HCPCS L8435

Prosthetic Sock Multiple Ply Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $89.42 / $89.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.64 / $24.64 / $24.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $26.50 / $26.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $21.55 / $26.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.07 / $25.24 / $26.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $19.89 / $29.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $12.59 / $19.97