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Utah rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Facilitymedian $32 · 10th–90th $17–$620%20%40%10th90th$32Professionalmedian $36 · 10th–90th $17–$1120%10%10th90th$36$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $33.88 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $45.71 / $58.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $61.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $44.67 / $67.61
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $63.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $63.10 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $47.86