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Montana rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $257 · 10th–90th $195$3240%20%40%10th90th$257Professionalmedian $186 · 10th–90th $100$3160%10%10th90th$186$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
$100.00 / $181.97 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $275.42
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $257.04 / $501.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $257.04 / $501.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $239.88 / $371.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $208.93 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $128.82 / $199.53