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Wisconsin rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Facilitymedian $32 · 10th–90th $17$1860%10%20%10th90th$32Professionalmedian $21 · 10th–90th $17$680%20%10th90th$21$0.1$0.2$1.0$5.0$20.0$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
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
$16.98 / $19.05 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $109.65 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $50.12 / $83.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $26.92 / $67.61
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $74.13 / $100.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $34.67 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $97.72
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $81.28 / $114.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $223.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $251.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $79.43 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $24.55 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $38.90