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Kansas rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $28.34 / $28.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.34 / $19.48 / $28.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.52 / $128.22 / $136.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.27 / $127.27 / $127.27
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 / $30.06 / $50.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $28.34 / $187.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $23.85 / $58.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $22.01 / $37.95