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Montana rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Facilitymedian $355 · 10th–90th $229–$4470%20%40%10th90th$355Professionalmedian $229 · 10th–90th $112–$4470%10%10th90th$229$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
$112.20 / $213.80 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $380.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $691.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $691.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $338.84 / $512.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $288.40 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $239.88 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $158.49 / $245.47