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Missouri rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $21.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $30.90 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.05 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $30.20 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.62 / $26.92