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Missouri rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.69 / $18.69 / $29.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $19.12 / $21.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $50.26 / $50.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $31.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $33.27 / $184.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $22.52 / $53.37
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $22.49 / $42.07