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Montana rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Facilitymedian $229 · 10th–90th $162–$2880%20%40%10th90th$229Professionalmedian $166 · 10th–90th $71–$2820%10%10th90th$166$100.0$200.0$500.0$1.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $154.88 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $245.47
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $229.09 / $446.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $229.09 / $446.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $218.78 / $331.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $186.21 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $158.49 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $104.71 / $158.49