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Montana rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$339

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $339 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$295$234 to $363
FacilityA hospital or hospital-owned outpatient department$339$282 to $363

How much rates vary

Facilitymedian $339 · 10th to 90th $234 to $490Professionalmedian $295 · 10th to 90th $112 to $661
$100$200$500$1K$2Kfacility $339professional $295

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
$112.20
Median
$288.40
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$660.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$275.42
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$269.15

Where Montana sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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· 8th of 51

$339

HI $490DE $182

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.