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Montana rates for HCPCS L3020

Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $415.34 / $415.34
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
$235.99 / $235.99 / $235.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $253.73 / $253.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.55 / $253.73 / $253.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.06 / $241.65 / $253.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.55 / $190.44 / $253.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.29 / $106.53 / $163.03