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Montana rates for HCPCS L3265

Plastazote sandal, each

Facilitymedian $23 · 10th–90th $11–$240%50%10th90th$23Professionalmedian $12 · 10th–90th $6–$230%10%10th90th$12$10.0$20.0$50.0

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
$6.03 / $10.00 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $21.38 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $23.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $23.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $15.85 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.71 / $12.88