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Missouri rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.32 / $34.32 / $45.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $35.57 / $54.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.56 / $68.84 / $302.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $34.47 / $53.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $26.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.45 / $53.07 / $306.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $32.71 / $79.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $78.48 / $94.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $32.71 / $49.77