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Orthopedic Shoe, Oxford with Supinator or Pronator, Child

New Hampshire rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Rates data updated July 2026.

Facilitymedian $27 · 10th–90th $26$320%50%10th90th$27Professionalmedian $50 · 10th–90th $24$710%20%10th90th$50$20.0$50.0$100.0$200.0

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
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.92
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$30.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$23.44
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$39.81
Typical High
$70.79
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33