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Montana rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Facilitymedian $195 · 10th–90th $91$2000%50%10th90th$195Professionalmedian $79 · 10th–90th $52$1950%10%10th90th$79$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $177.83 / $177.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $199.53
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $199.53
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $134.90 / $208.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $147.91 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $74.13 / $109.65