go back

Utah rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.06 / $45.06 / $45.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $45.06 / $78.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $71.95
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
$111.65 / $123.77 / $158.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $69.70 / $69.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.58 / $56.30 / $68.72