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Utah rates for HCPCS L3020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.78 / $68.78 / $106.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $213.39 / $673.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $153.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $152.55 / $162.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $214.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.60 / $235.99 / $235.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.38 / $169.16 / $253.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.41 / $106.53 / $136.41