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Montana rates for HCPCS L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.81 / $254.87 / $254.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.83 / $72.31 / $72.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.78 / $72.31 / $72.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.94 / $68.88 / $72.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $55.83 / $75.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $33.04 / $52.42