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Montana rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.29 / $448.78 / $448.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.33 / $157.33 / $157.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $169.17 / $169.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $169.17 / $169.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.37 / $161.11 / $169.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $126.96 / $169.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.19 / $71.02 / $108.68