go back

North Dakota rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.47 / $33.47 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.72 / $33.47 / $37.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $69.09 / $70.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $40.53 / $50.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $33.47 / $187.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $26.57 / $39.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $26.78 / $38.25