go back

Missouri rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $29.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.48 / $28.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.65 / $41.47 / $41.47
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 / $21.94 / $30.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $31.26 / $187.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $22.95 / $54.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $22.82 / $42.82