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Montana rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Facilitymedian $20,893 · 10th–90th $13,804$25,7040%20%10th90th$20,893Professionalmedian $13,490 · 10th–90th $7,762$24,5470%10%10th90th$13,490$100.0$500.0$2.0K$10.0K$50.0K

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
$7,762.47 / $12,589.25 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $22,387.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $22,387.21
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $20,892.96 / $40,738.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $20,892.96 / $40,738.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $19,952.62 / $24,547.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $16,595.87 / $22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,125.38 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $9,332.54 / $14,791.08