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Montana rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Facilitymedian $589 · 10th–90th $457–$9120%20%40%10th90th$589Professionalmedian $468 · 10th–90th $234–$7080%20%10th90th$468$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $630.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $1,148.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $602.56 / $954.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $478.63 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $457.09 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $467.74