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Louisiana rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $25.00 / $31.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $23.20 / $25.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.70 / $27.94
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 / $30.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $21.43 / $36.08