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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 October 2026.

How much does Exoskeletal Hip Disarticulation System, Ultra-Light cost?

$1,349

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,349 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$646 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,349$1,318 to $74,131

How much rates vary

Facilitymedian $1,349 · 10th to 90th $977 to $75,858Professionalmedian $1,288 · 10th to 90th $79 to $1,445
$100$1K$10K$100Kfacility $1,349professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$1,071.52
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$77,624.71
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,659.59
Typical High
$79,432.82
Providence
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,348.96
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,023.29
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$645.65
Typical High
$1,071.52

Where Montana sits

The same service costs 2.3 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 4th of 51

$1,349

HI $1,514DE $661

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.