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Upper Extremity Addition, Removable Insert

Montana rates for HCPCS L6691

Upper extremity addition, removable insert, each

Rates data updated July 2026.

Facilitymedian $407 · 10th–90th $275$5620%20%40%10th90th$407Professionalmedian $347 · 10th–90th $135$7940%10%20%10th90th$347$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
$134.90
Median
$346.74
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$436.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$794.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$794.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$323.59
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$316.23