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Missouri rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.32 / $49.32 / $65.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $51.11 / $78.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.21 / $98.92 / $434.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $45.68 / $76.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $58.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $75.91 / $416.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $47.00 / $114.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $47.00 / $97.66