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Montana rates for HCPCS L3211

Surgical Boot Each Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $13.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $45.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $29.44 / $44.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.10 / $28.58 / $45.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $41.25 / $53.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $18.41 / $27.42