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Montana rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $603 · 10th–90th $417–$8130%20%40%10th90th$603Professionalmedian $479 · 10th–90th $214–$7410%10%20%10th90th$479$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
$213.80 / $457.09 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $660.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $602.56 / $1,174.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $602.56 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $489.78 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $467.74 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $309.03 / $478.63