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Utah rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $23.99 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.85 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $34.67 / $51.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $28.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $69.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.36 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $17.38 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $17.38 / $26.92