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Montana rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Facilitymedian $6,166 · 10th–90th $3,890–$7,5860%20%10th90th$6,166Professionalmedian $4,169 · 10th–90th $2,239–$7,5860%5%10%10th90th$4,169$100.0$500.0$2.0K$10.0K

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
$2,238.72 / $3,890.45 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,606.93 / $6,606.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,165.95 / $12,022.64
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,165.95 / $12,022.64
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,754.40 / $7,413.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,897.79 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,890.45 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,630.27 / $3,981.07