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Utah rates for HCPCS L3420

Full Sole And Heel Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $18.96 / $18.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $21.97 / $185.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $76.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $48.62 / $63.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.32 / $65.04 / $65.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $46.62 / $69.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $29.36 / $37.60