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Missouri rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $74.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $48.98 / $138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $30.20 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $48.98 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $29.51 / $43.65