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Colorado rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $20.22 / $20.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.34 / $20.22 / $28.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.47 / $41.47 / $41.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $40.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $48.85
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $73.00 / $155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $22.95 / $38.25