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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
$53.49 / $53.49 / $71.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.78 / $55.44 / $84.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $107.29 / $471.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.79 / $55.89 / $82.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $71.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.03 / $82.71 / $478.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.92 / $50.98 / $124.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.92 / $50.98 / $75.56