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Montana rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Facilitymedian $372 · 10th–90th $251–$5500%20%40%10th90th$372Professionalmedian $288 · 10th–90th $123–$4470%10%10th90th$288$100.0$200.0$500.0$1.0K

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
$123.03 / $245.47 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $398.11 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $724.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $724.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $380.19 / $588.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $302.00 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $288.40 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $190.55 / $295.12