go back

Montana rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $28 · 10th–90th $19–$350%20%10th90th$28Professionalmedian $20 · 10th–90th $9–$470%10%10th90th$20$10.0$20.0$50.0$100.0

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
$8.91 / $19.05 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $29.51 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $53.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $53.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $26.30 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $29.51 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.50 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.88 / $19.95