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Missouri rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.17 / $16.17 / $25.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $16.55 / $18.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $67.64 / $67.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $26.55 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $19.48 / $46.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $19.46 / $36.76