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Montana rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $22.91 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $33.11 / $40.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $38.02 / $74.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.02 / $74.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $38.02 / $54.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $40.74 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $19.95 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.98 / $19.50