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Utah rates for HCPCS L3380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $17.19 / $17.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $19.91 / $168.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $33.35 / $33.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $33.35 / $34.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $44.12 / $57.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.91 / $59.01 / $59.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $42.30 / $63.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $26.39 / $26.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $26.63 / $34.09