go back

Montana rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Facilitymedian $525 · 10th–90th $331–$6610%20%10th90th$525Professionalmedian $339 · 10th–90th $170–$6170%10%10th90th$339$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
$169.82 / $316.23 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $562.34 / $562.34
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $524.81 / $1,023.29
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $524.81 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $489.78 / $776.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $426.58 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $199.53 / $309.03