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Montana rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $12.43 / $32.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.45 / $19.84 / $21.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $21.12 / $22.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $19.45 / $21.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $19.95 / $25.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $9.67 / $10.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $8.01 / $9.61