go back

West Virginia rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $18 · 10th–90th $18–$450%50%90th$18Professionalmedian $18 · 10th–90th $13–$310%20%40%10th90th$18$20.0$50.0$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. Small sample — interpret with caution. 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
$12.88 / $18.20 / $21.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $44.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $48.98 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $52.48