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Montana rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Facilitymedian $372 · 10th–90th $288–$5620%20%40%10th90th$372Professionalmedian $288 · 10th–90th $166–$4680%10%10th90th$288$100.0$200.0$500.0$1.0K$2.0K

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
$165.96 / $275.42 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $724.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $724.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $380.19 / $630.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $302.00 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $288.40 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $190.55 / $295.12