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Montana rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Facilitymedian $76 · 10th–90th $58–$1150%20%40%10th90th$76Professionalmedian $60 · 10th–90th $25–$950%20%10th90th$60$50.0$100.0$200.0

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
$25.12 / $56.23 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $81.28 / $81.28
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $147.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $147.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $123.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $38.90 / $60.26