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Montana rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Facilitymedian $3,890 · 10th–90th $2,754–$5,3700%20%10th90th$3,890Professionalmedian $3,162 · 10th–90th $1,698–$4,7860%10%10th90th$3,162$100.0$500.0$2.0K$10.0K

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
$1,698.24 / $2,884.03 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,168.69 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,168.69 / $4,168.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,890.45 / $7,585.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,890.45 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,981.07 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,090.30 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,951.21 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,949.84 / $3,019.95