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Orthopedic Shoe, Oxford with Supinator or Pronator, Child

Montana rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Rates data updated July 2026.

Facilitymedian $59 · 10th–90th $28$620%50%10th90th$59Professionalmedian $22 · 10th–90th $16$600%20%10th90th$22$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.78
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$54.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$60.26
Typical High
$61.66
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$60.26
Typical High
$61.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$33.11
Typical High
$64.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$26.92
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.39
Typical High
$33.88