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Montana rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Facilitymedian $1,000 · 10th–90th $631–$1,2590%20%40%10th90th$1,000Professionalmedian $646 · 10th–90th $302–$1,2590%10%10th90th$646$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
$302.00 / $616.60 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,071.52 / $1,071.52
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,000.00 / $1,949.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,000.00 / $1,949.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $891.25 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $812.83 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $380.19 / $588.84