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Utah rates for HCPCS L3450

Heel Sach Cushion Type (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.59 / $36.59 / $36.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.59 / $42.40 / $358.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $70.98 / $73.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.39 / $93.84 / $121.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.56 / $125.53 / $125.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $89.98 / $134.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $56.68 / $72.56