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Utah rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $24.54 / $24.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.54 / $34.69 / $293.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $58.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.76 / $67.11 / $87.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.50 / $89.78 / $89.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.12 / $64.34 / $96.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.21 / $37.68 / $44.65