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Utah rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Facilitymedian $19 · 10th–90th $17–$480%20%40%10th90th$19Professionalmedian $26 · 10th–90th $14–$490%10%10th90th$26$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $70.79 / $91.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $47.86 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $47.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $43.65 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $22.39 / $33.88