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Heel, Thomas with Wedge

Montana rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$60.26

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $69.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$31.62 to $69.18
FacilityA hospital or hospital-owned outpatient department$69.18$54.95 to $74.13

How much rates vary

Facilitymedian $69 · 10th to 90th $44 to $87Professionalmedian $55 · 10th to 90th $23 to $135
$20$50$100$200facility $69professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$37.15
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$74.13
Typical High
$74.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$134.90
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$134.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$54.95
Typical High
$85.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$31.62
Typical High
$47.86

Where Montana sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 8th of 51

$60.26

MN $70.79DC $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.