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Montana rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Facilitymedian $209 · 10th–90th $138–$2570%20%10th90th$209Professionalmedian $129 · 10th–90th $69–$2340%10%10th90th$129$100.0$200.0$500.0$1.0K

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
$69.18 / $117.49 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $223.87 / $223.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $208.93 / $407.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $208.93 / $407.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $257.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $165.96 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $107.15 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $93.33 / $144.54