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Missouri rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $54.95 / $123.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $56.23 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $69.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $83.18 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $51.29 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $81.28 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $72.44