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Orthopedic Shoe, Oxford with Supinator or Pronator, Child

Utah rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Rates data updated July 2026.

Facilitymedian $18 · 10th–90th $18$480%50%90th$18Professionalmedian $22 · 10th–90th $14$490%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
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$31.62
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
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$70.79
Typical High
$93.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$47.86
Typical High
$63.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$47.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$74.13
Typical High
$75.86
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.39
Typical High
$33.88