go back

Hawaii rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $21.47 / $21.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.21 / $43.21 / $43.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.94 / $20.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $40.33 / $68.50