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Missouri rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.33 / $42.88 / $93.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.15 / $30.62 / $46.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.44 / $59.26 / $260.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.20 / $30.58 / $45.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $35.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $45.68 / $264.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $28.16 / $68.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $28.16 / $42.83