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Missouri rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.37 / $101.37 / $135.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.01 / $105.06 / $160.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.64 / $203.32 / $893.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.61 / $113.80 / $156.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $129.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.91 / $156.74 / $906.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $96.61 / $235.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.27 / $96.61 / $194.59