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Utah rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.59 / $58.59 / $58.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $58.59 / $96.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $228.01
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
$145.56 / $161.36 / $206.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.40 / $123.40 / $123.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.74 / $73.40 / $89.17