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Montana rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Facilitymedian $2,455 · 10th–90th $1,549$3,0200%20%10th90th$2,455Professionalmedian $1,380 · 10th–90th $603$2,8840%20%10th90th$1,380$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,318.26
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,630.27
Typical High
$2,630.27
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$4,786.30
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$4,786.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,905.46
Typical High
$2,884.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,949.84
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,445.44