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Missouri rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $87.10 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $128.82 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $125.89 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $112.20