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Missouri rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.38 / $109.38 / $145.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.89 / $113.36 / $173.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.94 / $219.39 / $964.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.66 / $111.51 / $169.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $108.85 / $153.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.33 / $169.12 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.52 / $104.23 / $253.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.26 / $103.88 / $151.06