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Pennsylvania rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $18.32 / $70.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $18.59 / $23.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $39.94 / $39.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $31.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $18.32 / $70.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $18.57 / $23.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $66.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.71 / $23.49 / $42.56