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Montana rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Facilitymedian $54 · 10th–90th $37–$790%20%10th90th$54Professionalmedian $40 · 10th–90th $19–$680%10%10th90th$40$20.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $38.02 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $57.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $104.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $104.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $54.95 / $85.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $41.69 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $27.54 / $42.66