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North Carolina rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.40 / $33.40 / $33.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $33.40 / $33.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $23.36 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $30.29 / $66.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $33.40 / $43.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $40.60 / $40.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.30 / $47.30 / $47.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $21.33 / $32.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.65 / $190.81 / $190.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.57 / $294.14 / $294.14