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Utah rates for HCPCS L3030

Foot Insert Removable Formed To Patient Foot Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.46 / $26.46 / $26.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $196.00 / $596.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $61.54 / $106.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $82.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.36 / $90.74 / $90.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $65.04 / $97.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $40.98 / $58.79