go back

Missouri rates for HCPCS L3010

Foot insert, removable, molded to patient model, longitudinal arch support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.38 / $113.36 / $170.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.89 / $113.36 / $173.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.99 / $139.99 / $156.71
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 / $122.76 / $169.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $102.59 / $134.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.56 / $169.12 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.52 / $104.23 / $253.95
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.18 / $194.18 / $194.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.52 / $104.23 / $154.52