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Missouri rates for HCPCS L3400

Metatarsal Bar Wedge Rocker (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.54 / $25.54 / $34.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $26.47 / $40.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $32.68 / $32.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.78 / $51.22 / $225.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $25.95 / $39.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $33.72 / $33.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $24.62 / $35.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.43 / $39.71 / $228.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $24.34 / $59.30
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.38 / $45.38 / $45.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $58.41 / $70.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $24.34 / $37.07