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Montana rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.80 / $33.46 / $159.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $56.00 / $56.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $60.21 / $60.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $60.21 / $60.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.24 / $57.34 / $60.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $45.19 / $60.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.84 / $25.27 / $38.67