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Foot, Arch Support, Removable, Premolded, Longitudinal

Utah rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $16$580%20%40%10th90th$25Professionalmedian $41 · 10th–90th $19$1200%10%10th90th$41$20.0$50.0$100.0$200.0

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
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$48.98
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$57.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$61.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$56.23
Typical High
$58.88
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$42.66