go back

Montana rates for HCPCS L3580

Orthopedic Shoe Addition Convert Instep To Velcro Closure (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $220.07 / $220.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $82.94 / $82.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $82.94 / $82.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.92 / $78.98 / $82.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $62.25 / $83.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $34.83 / $53.30