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Montana rates for HCPCS L2385

Addition to lower extremity, straight knee joint, heavy-duty, each joint

Facilitymedian $195 · 10th–90th $123–$2450%20%10th90th$195Professionalmedian $100 · 10th–90th $68–$2090%10%20%10th90th$100$50.0$100.0$200.0$500.0

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
$67.61 / $95.50 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $208.93 / $208.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $380.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $380.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $181.97 / $234.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $151.36 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $85.11 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $114.82