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Utah rates for HCPCS L3216

Orthopedic Footwear Ladies Shoe Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.43 / $40.43 / $40.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $40.43 / $66.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $48.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.00 / $80.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.48 / $111.38 / $142.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.60 / $60.60 / $60.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.63 / $50.67 / $61.58