go back

Montana rates for HCPCS L3370

Sole Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $168.16 / $168.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $63.45 / $63.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.35 / $63.45 / $63.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.75 / $60.43 / $63.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.62 / $48.67 / $63.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.07 / $26.63 / $40.74