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Missouri rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.25 / $66.25 / $88.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $68.66 / $104.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.56 / $132.88 / $584.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.86 / $66.53 / $102.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $51.82 / $73.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.71 / $102.43 / $592.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.96 / $63.14 / $153.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.96 / $63.14 / $96.08