go back

Above Elbow, Molded Socket, Endoskeletal System

Montana rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Rates data updated July 2026.

Facilitymedian $4,786 · 10th–90th $2,951$5,8880%20%10th90th$4,786Professionalmedian $3,388 · 10th–90th $1,202$9,3330%10%10th90th$3,388$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$3,235.94
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$5,128.61
Typical High
$5,128.61
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,786.30
Typical High
$9,332.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,786.30
Typical High
$9,332.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,168.69
Typical High
$5,495.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,801.89
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$2,818.38