go back

Montana rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Facilitymedian $1,175 · 10th–90th $871–$1,4790%20%10th90th$1,175Professionalmedian $794 · 10th–90th $389–$1,4790%10%20%10th90th$794$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $741.31 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,258.93 / $1,258.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,174.90 / $2,290.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,174.90 / $2,290.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,122.02 / $1,659.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $954.99 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $831.76 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $562.34 / $851.14