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Utah rates for HCPCS L3390

Outflare 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
$43.99 / $43.99 / $43.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $43.99 / $46.90
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
Professional
Modifier
Low / Median / High Price
$20.85 / $26.63 / $34.09