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Montana rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $172.67 / $172.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $60.52 / $60.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $65.06 / $65.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $65.06 / $65.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.54 / $61.97 / $65.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $48.84 / $65.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $27.32 / $41.82