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Knee Extension Assist, Above-Knee or Hip Disarticulation

Montana rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Rates data updated July 2026.

Facilitymedian $200 · 10th–90th $123$2510%20%40%10th90th$200Professionalmedian $129 · 10th–90th $50$3890%10%20%10th90th$129$50.0$100.0$200.0$500.0

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
$48.98
Median
$128.82
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$389.05
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$154.88
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$117.49