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Montana rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.64 / $400.64 / $2,081.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.22 / $592.22 / $592.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $636.75 / $636.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.74 / $636.75 / $636.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.10 / $606.42 / $636.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.91 / $488.50 / $663.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.44 / $302.54 / $479.83