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Utah rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $29.54 / $29.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $34.22 / $289.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $71.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $75.76 / $98.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.87 / $101.35 / $101.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.72 / $72.65 / $108.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $45.77 / $58.60