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Montana rates for HCPCS L8600

Implantable breast prosthesis, silicone or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,407.87 / $8,407.87 / $8,407.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.52 / $2,356.86 / $2,356.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.06 / $1,049.28 / $1,049.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.06 / $1,049.28 / $1,049.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.86 / $999.31 / $1,049.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.06 / $787.54 / $1,050.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.94 / $373.91 / $576.17