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Montana rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Facilitymedian $589 · 10th–90th $372–$7410%20%10th90th$589Professionalmedian $331 · 10th–90th $195–$7410%10%20%10th90th$331$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
$194.98 / $323.59 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $645.65 / $645.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $1,148.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $562.34 / $776.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $478.63 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $380.19 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $389.05