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Montana rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Facilitymedian $51 · 10th–90th $25–$540%50%10th90th$51Professionalmedian $21 · 10th–90th $14–$520%10%10th90th$21$20.0$50.0$100.0

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
$14.13 / $18.62 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $54.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $52.48 / $52.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $52.48 / $52.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $35.48 / $56.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $54.95 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $24.55 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.50 / $29.51