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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
$18.20 / $18.20 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $29.51 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $22.39 / $245.47
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $22.39 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $21.88 / $35.48