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Montana rates for HCPCS L3470

Heel Thomas Extended To Ball (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $211.43 / $211.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.91 / $79.75 / $79.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.91 / $79.75 / $79.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $75.95 / $79.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.91 / $59.85 / $79.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.25 / $33.46 / $38.29