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Utah rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.85 / $45.85 / $45.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $71.54 / $448.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $91.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $143.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.07 / $157.33 / $157.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.59 / $112.78 / $169.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.57 / $71.02 / $90.93