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Utah rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Facilitymedian $52 · 10th–90th $29$1050%20%40%10th90th$52Professionalmedian $71 · 10th–90th $29$4370%10%10th90th$71$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $57.54 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $69.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $75.86 / $97.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $104.71 / $104.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $74.13 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $104.71 / $104.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $75.86