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Montana rates for HCPCS L3450

Heel Sach Cushion Type (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.92 / $358.21 / $358.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.53 / $125.53 / $125.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $134.97 / $134.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $134.97 / $134.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.34 / $128.54 / $134.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $101.30 / $135.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.23 / $56.68 / $86.73