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Utah rates for HCPCS L3410

Metatarsal Bar Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.18 / $32.18 / $32.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.18 / $37.28 / $314.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $71.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.39 / $82.59 / $107.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $110.48 / $110.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.90 / $79.19 / $118.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $49.85 / $63.84