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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
$124.53 / $124.53 / $165.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.87 / $129.05 / $410.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $159.38 / $177.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.88 / $249.77 / $1,098.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.11 / $139.80 / $192.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $153.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $111.36 / $153.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.06 / $192.53 / $1,113.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.78 / $118.67 / $289.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.41 / $118.67 / $180.59