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Missouri rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.93 / $31.93 / $42.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $33.09 / $47.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.74 / $45.74 / $45.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.99 / $64.04 / $281.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.31 / $33.31 / $49.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $36.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.27 / $49.37 / $285.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $30.43 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $30.16 / $44.09