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Montana rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $630.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,148.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $602.56 / $954.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $478.63 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $457.09 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $467.74