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Texas rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $18.89 / $19.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $19.25 / $27.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $37.22 / $51.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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 / $30.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.09 / $190.81 / $190.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $253.57 / $294.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $31.79 / $57.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $17.23 / $31.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $51.05 / $57.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $30.29 / $55.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $30.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $22.34 / $41.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $50.26 / $53.37