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Utah rates for HCPCS L3455

Heel New Leather Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $16.35 / $138.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $57.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.65 / $36.15 / $47.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.37 / $48.37 / $48.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $34.67 / $52.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $21.86 / $26.29