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Montana rates for HCPCS L3202

Orthopedic Shoe Oxford With Supinator Or Pronator Child (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $16.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $55.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.29 / $31.20 / $54.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $34.07 / $55.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.29 / $50.47 / $65.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $22.52 / $33.52