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Utah rates for HCPCS L3310

Lift, elevation, heel and sole, neoprene, per in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $52.48 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $70.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $89.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $87.10 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $102.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $100.00 / $100.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $100.00 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $43.65 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $63.10