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Offset Knee Joint, Heavy-Duty

Montana rates for HCPCS L2395

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

Rates data updated July 2026.

How much does Offset Knee Joint, Heavy-Duty cost?

$174

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$85.11 to $204
FacilityA hospital or hospital-owned outpatient department$204$162 to $219

How much rates vary

Facilitymedian $204 · 10th to 90th $129 to $257Professionalmedian $162 · 10th to 90th $56 to $398
$100$200$500$1Kfacility $204professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$218.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$398.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$165.96
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$134.90

Where Montana sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 7th of 51

$174

HI $251DC $72.44

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.