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Utah rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $18.75 / $47.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $21.12 / $21.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $18.52 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $17.62 / $22.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $8.01 / $9.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $8.01 / $9.61