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Missouri rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $23 · 10th–90th $19–$650%20%10th90th$23Professionalmedian $22 · 10th–90th $17–$420%20%10th90th$22$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
$19.05 / $19.05 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $34.67