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Missouri rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.85 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $11.22 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.71 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $9.33 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.32 / $13.49