go back

Montana rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.22 / $56.22 / $56.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $193.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $58.20 / $189.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $117.74 / $193.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $175.19 / $227.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $78.17 / $116.39