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Arizona rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $36 · 10th–90th $12–$810%10%10th90th$36Professionalmedian $22 · 10th–90th $17–$390%20%10th90th$22$0.1$0.2$1.0$5.0$20.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $46.77 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $42.66 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $22.91 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $42.66