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Other Orthopedic Shoe Modification, Addition or Transfer

Missouri rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $16$1000%50%10th$100Professionalmedian $11 · 10th–90th $0$2,5120%50%10th90th$11$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$8.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$100.00
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67