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Missouri rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.35 / $18.35 / $24.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $19.02 / $29.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.04 / $36.79 / $161.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $19.17 / $28.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $25.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $28.38 / $164.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $17.48 / $42.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $15.71 / $28.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $17.48 / $26.65