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Montana rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $99.24 / $99.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.77 / $34.77 / $34.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $37.38 / $37.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $37.38 / $37.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $35.60 / $37.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $28.06 / $37.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.18 / $18.18 / $19.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.20 / $15.71 / $24.04