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Montana rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $52.79 / $52.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $181.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.08 / $178.25 / $178.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $139.08 / $181.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.82 / $178.25 / $213.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $73.40 / $109.38