go back

Missouri rates for HCPCS L3455

Heel, new leather, standard

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
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 / $26.71 / $39.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.42 / $39.49 / $228.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $24.34 / $59.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $24.34 / $36.08