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Illinois rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $38 · 10th–90th $20–$5620%20%10th90th$38Professionalmedian $24 · 10th–90th $18–$710%20%10th90th$24$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$19.95 / $19.95 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $234.42 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
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 / $39.81
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $61.66 / $70.79
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $22.91 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $40.74