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Missouri rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.86 / $64.86 / $100.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $66.38 / $75.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.95 / $157.91 / $157.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $58.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $106.46 / $638.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $78.17 / $185.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $78.06 / $146.28