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Utah rates for HCPCS L3590

Orthopedic Shoe Addition Convert Firm Shoe Counter To Soft Counter (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.52 / $18.52 / $18.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.52 / $21.45 / $181.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $38.36 / $38.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $38.36 / $39.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $47.50 / $61.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.97 / $63.54 / $63.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $45.54 / $68.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.46 / $28.69 / $29.19