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Wisconsin rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $33 · 10th–90th $18$1860%10%20%10th90th$33Professionalmedian $23 · 10th–90th $18$710%20%10th90th$23$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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $41.69 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $51.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $27.54 / $69.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $97.72 / $131.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $35.48 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $83.18 / $117.49
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $43.65 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $25.12 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $39.81