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Utah rates for HCPCS L3360

Sole Wedge Outside Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.34 / $12.34 / $12.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $14.30 / $120.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.67 / $26.67 / $26.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $26.67 / $28.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.95 / $31.77 / $41.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.97 / $42.34 / $42.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.12 / $30.35 / $45.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $19.12 / $24.48