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Utah rates for HCPCS L3202

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.98 / $17.98 / $17.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $17.98 / $29.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $30.29 / $31.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $91.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.66 / $49.51 / $63.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.36 / $47.36 / $47.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $22.52 / $27.35