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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
$33.70 / $33.70 / $176.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $62.03 / $62.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.07 / $66.70 / $66.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $66.70 / $66.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.29 / $63.52 / $66.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $50.06 / $66.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.30 / $28.00 / $42.84