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Montana rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Facilitymedian $437 · 10th–90th $275–$5500%20%10th90th$437Professionalmedian $295 · 10th–90th $123–$4680%10%10th90th$295$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 / $257.04 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $467.74 / $467.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $851.14
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $851.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $389.05 / $562.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $354.81 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $275.42 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $181.97 / $281.84