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Utah rates for HCPCS L3010

Foot Insert Removable Molded To Patient Model Longitudinal Arch Support Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $60.40 / $60.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.40 / $94.25 / $591.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $102.59 / $243.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $188.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.84 / $207.26 / $207.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.02 / $148.56 / $222.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.26 / $93.57 / $119.80