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Montana rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.89 / $32.89 / $172.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $60.52 / $60.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $65.06 / $65.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $65.06 / $65.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.54 / $61.97 / $65.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $48.84 / $65.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $27.32 / $45.54