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Utah rates for HCPCS L3211

Surgical Boot Each Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.60 / $14.60 / $14.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $14.60 / $24.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $28.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $28.58 / $29.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.00 / $69.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.49 / $40.45 / $51.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $18.41 / $27.42