go back

Exoskeletal Hip Disarticulation System, Ultra-Light

Montana rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

Facilitymedian $1,259 · 10th–90th $912$1,9950%20%40%10th90th$1,259Professionalmedian $1,122 · 10th–90th $417$2,4550%10%20%10th90th$1,122$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
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,122.02
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$2,454.71
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$2,454.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,288.25
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,023.29
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$1,000.00