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Missouri rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.17 / $204.34 / $262.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.54 / $204.34 / $790.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.64 / $395.47 / $1,738.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $221.34 / $304.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $225.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.72 / $304.85 / $1,762.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.75 / $187.90 / $457.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.07 / $187.90 / $285.95