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Montana rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $8,511 · 10th–90th $6,026–$10,7150%20%10th90th$8,511Professionalmedian $5,495 · 10th–90th $2,754–$9,7720%10%10th90th$5,495$100.0$500.0$2.0K$10.0K

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
$2,754.23 / $5,128.61 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $9,120.11 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $9,120.11 / $9,120.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $8,511.38 / $16,595.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $8,511.38 / $16,595.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $8,128.31 / $12,589.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $6,918.31 / $9,120.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,888.44 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,890.45 / $6,025.60