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Missouri rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.71 / $46.71 / $72.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.71 / $47.81 / $65.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $48.40 / $48.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.19 / $82.15 / $102.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $71.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.24 / $83.18 / $460.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $56.30 / $133.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $54.50 / $109.63