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Montana rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Facilitymedian $617 · 10th–90th $407$7760%20%10th90th$617Professionalmedian $398 · 10th–90th $200$7760%10%10th90th$398$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
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$660.69
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$1,202.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$501.19
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$416.87
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$426.58