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Utah rates for HCPCS L3580

Orthopedic Shoe Addition Convert Instep To Velcro Closure (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $22.48 / $22.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $26.05 / $220.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $43.62 / $46.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $57.66 / $74.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.17 / $77.14 / $77.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $55.29 / $82.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $34.83 / $44.59