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Orthopedic Shoe, Oxford with Supinator or Pronator, Child

Wisconsin rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $18$2140%10%10th90th$32Professionalmedian $26 · 10th–90th $18$810%20%10th90th$26$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
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$181.97
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$44.67
Typical High
$77.62
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$67.61
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$74.13
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$34.67
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$54.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$97.72
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$67.61
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Quartz
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$114.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$67.61
Typical High
$223.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$251.19
Security Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.39
Typical High
$39.81