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Montana rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Facilitymedian $575 · 10th–90th $398–$7240%20%40%10th90th$575Professionalmedian $398 · 10th–90th $214–$6760%10%10th90th$398$100.0$200.0$500.0$1.0K$2.0K

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
$213.80 / $371.54 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $616.60 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $1,122.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $549.54 / $776.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $467.74 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $407.38 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $269.15 / $416.87