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Missouri rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.55 / $30.62 / $45.92
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
$28.04 / $30.80 / $45.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $33.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $45.68 / $264.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $28.16 / $68.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.47 / $25.27 / $45.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $28.16 / $61.64