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Upper Extremity Addition, Latex Suspension Sleeve

Montana rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $62$1260%20%40%10th90th$102Professionalmedian $76 · 10th–90th $25$2000%10%10th90th$76$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
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$64.57
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$109.65
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$199.53
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$79.43
Typical High
$125.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$60.26