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Utah rates for HCPCS L3520

Orthopedic Shoe Addition Insole Felt Covered With Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $11.02 / $11.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $12.76 / $107.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $21.38 / $44.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $28.38 / $36.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.90 / $37.82 / $37.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $27.11 / $40.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $16.91 / $20.53