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Montana rates for HCPCS L3030

Foot Insert Removable Formed To Patient Foot Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $49.32 / $258.97
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
$90.74 / $90.74 / $90.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $97.57 / $97.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $97.57 / $97.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.79 / $92.92 / $97.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $73.22 / $97.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $40.98 / $46.91