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Utah rates for HCPCS L3590

Orthopedic shoe addition, convert firm shoe counter to soft counter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $33.88 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $39.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $46.77 / $67.61
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $64.57 / $66.07
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $66.07 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.18 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $28.84 / $40.74