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Utah rates for HCPCS L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $21.33 / $21.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.33 / $29.59 / $254.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.83 / $55.83 / $55.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.07 / $40.76 / $94.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $50.28 / $65.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $67.27 / $67.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.31 / $48.22 / $72.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $32.76 / $39.75