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Montana rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $23.67 / $23.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $81.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $51.17 / $79.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $49.68 / $81.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $73.77 / $95.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $32.92 / $49.06