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Utah rates for HCPCS L3060

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $50.12 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $60.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $79.43 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $93.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $91.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $91.20 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $38.90 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $39.81 / $56.23