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Montana rates for HCPCS L6621

Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device

Rates data updated July 2026.

How much does HCPCS L6621 cost?

$2,344

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $2,754 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,239$1,479 to $2,754
FacilityA hospital or hospital-owned outpatient department$2,754$2,138 to $2,951

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,778 to $3,388Professionalmedian $2,239 · 10th to 90th $794 to $5,370
$100$200$500$1K$2K$5K$10Kfacility $2,754professional $2,239

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$2,238.72
Typical High
$11,748.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,951.21
Typical High
$2,951.21
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$5,370.32
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$5,370.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,570.40
Typical High
$3,981.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,187.76
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$1,905.46

Where Montana sits

The same service costs 2.3 times more in Wisconsin than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 8th of 51

$2,344

WI $2,754DE $1,202

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.