go back

Missouri rates for HCPCS L3020

Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $190.55 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $190.55 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $169.82