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Missouri rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $7.19 / $11.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.36 / $10.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $15.58 / $26.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $12.80 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.66 / $20.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $8.65 / $16.87