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Missouri rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $7.12 / $52.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $7.52 / $32.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $8.41 / $11.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $14.13 / $17.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $15.42 / $21.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $11.93 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.01 / $18.98
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $9.46 / $9.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $8.00 / $10.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $8.00 / $15.60