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Utah rates for HCPCS L3225

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

Facilitymedian $44 · 10th–90th $24–$910%20%40%10th90th$44Professionalmedian $62 · 10th–90th $24–$4370%10%10th90th$62$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $51.29 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $67.61 / $85.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $91.20 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $85.11
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $93.33 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.02 / $74.13