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Utah rates for HCPCS L3510

Orthopedic Shoe Addition Insole Rubber (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $11.75 / $99.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.27 / $24.27 / $24.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $24.27 / $25.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $26.09 / $35.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.18 / $34.77 / $34.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $24.92 / $37.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $15.71 / $20.11