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Orthopedic Shoe, Oxford with Supinator or Pronator, Child

New Mexico rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $17$520%10%10th90th$30Professionalmedian $22 · 10th–90th $13$390%10%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
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$27.54
Typical High
$33.11
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
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$31.62
Typical High
$56.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.39
Typical High
$41.69