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Montana rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $52.48 / $64.57
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $60.26 / $117.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $117.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $57.54 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $64.57 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $27.54 / $31.62