go back

Utah rates for HCPCS L3470

Heel Thomas Extended To Ball (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $21.60 / $21.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $25.02 / $211.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.91 / $41.91 / $41.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $41.91 / $43.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $55.45 / $72.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.50 / $74.17 / $74.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.22 / $53.17 / $79.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.71 / $33.15 / $40.24