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Montana rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $60 · 10th–90th $28$620%50%10th90th$60Professionalmedian $25 · 10th–90th $16$600%10%20%10th90th$25$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$21.88
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$56.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$61.66
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$61.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$33.88
Typical High
$64.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$57.54
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$33.88