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Montana rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $138.13 / $138.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $52.01 / $52.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $52.01 / $52.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.43 / $49.53 / $52.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $39.03 / $52.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.76 / $21.86 / $33.46