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Montana rates for HCPCS L3300

Lift, elevation, heel, tapered to metatarsals, per in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $53.70 / $66.07
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $61.66 / $120.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $61.66 / $120.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $48.98 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $66.07 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $32.36 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.18 / $32.36