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Missouri rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $14.37 / $22.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $14.71 / $17.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $39.11 / $39.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $28.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.20 / $25.56 / $141.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $17.32 / $41.06
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $17.25 / $32.04