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Missouri rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.04 / $42.04 / $65.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $43.03 / $48.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $43.56 / $43.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.07 / $70.91 / $91.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $48.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.03 / $74.98 / $414.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $50.67 / $120.09
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $50.21 / $94.26