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Montana rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $36.44 / $36.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $125.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $48.54 / $123.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $76.45 / $125.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $113.56 / $147.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $50.67 / $75.56