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Missouri rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Facilitymedian $56 · 10th–90th $46–$1580%20%10th90th$56Professionalmedian $55 · 10th–90th $42–$850%20%10th90th$55$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $47.86 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $74.13 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $56.23 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $54.95 / $85.11