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Missouri rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.93 / $31.93 / $42.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $33.09 / $50.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.99 / $64.04 / $281.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.31 / $32.36 / $49.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $39.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.59 / $49.37 / $285.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $30.43 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $30.43 / $46.32