Exhibit 23 CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS As independent public accountants, we hereby consent to the incorporation of our report, dated February 15, 2000, included in Insituform Technologies, Inc.'s 1999 Form 10-K, into the Company's previously filed Registration Statements on Form S-8 Nos. 33-82486, 33-82488 and 33-63953. ARTHUR ANDERSEN LLP St. Louis, Missouri, March 22, 2000