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Missouri rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $63.06 / $84.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.22 / $65.36 / $99.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.46 / $126.48 / $556.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.88 / $64.14 / $97.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $72.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $97.51 / $563.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.70 / $60.10 / $146.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $60.10 / $121.06