go back

North Carolina 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
$34.04 / $34.04 / $34.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $34.04 / $34.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $23.81 / $25.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $45.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $45.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $34.04 / $44.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $44.40 / $44.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.20 / $48.20 / $48.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $21.71 / $35.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $194.47 / $194.47
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.10 / $299.85 / $299.85