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Iowa rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $30 · 10th–90th $21–$1860%20%10th90th$30Professionalmedian $21 · 10th–90th $18–$500%20%10th90th$21$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
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.89 / $33.11
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
$30.20 / $42.66 / $57.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $57.54 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $31.62 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $57.54 / $81.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $22.91 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $42.66
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $45.71