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Utah rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.34 / $18.34 / $18.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.34 / $19.25 / $228.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $30.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $91.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $50.45 / $64.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $38.58 / $38.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $22.95 / $27.83