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Montana rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Facilitymedian $1,349 · 10th–90th $1,023–$1,8620%20%10th90th$1,349Professionalmedian $891 · 10th–90th $589–$1,6980%10%10th90th$891$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
$588.84 / $870.96 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,445.44 / $1,445.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,348.96 / $2,630.27
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,348.96 / $2,630.27
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,288.25 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,096.48 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,023.29 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $691.83 / $1,047.13