go back

Montana rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Facilitymedian $37 · 10th–90th $17$380%50%10th90th$37Professionalmedian $15 · 10th–90th $10$370%10%10th90th$15$10.0$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
$10.00 / $13.49 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $33.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $38.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $38.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $25.70 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.13 / $20.89