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Utah rates for HCPCS L3300

Lift, elevation, heel, tapered to metatarsals, per in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.88 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $37.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $46.77 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $56.23 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $45.71 / $66.07
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $63.10 / $64.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $64.57 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $27.54 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $39.81