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Montana rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $310.04 / $547.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.09 / $192.09 / $192.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $206.54 / $206.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $206.54 / $206.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.92 / $196.70 / $206.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $158.44 / $206.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $86.72 / $99.27