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Utah rates for HCPCS L3620

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup Existing (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.46 / $26.46 / $26.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $30.65 / $258.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $51.32 / $51.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $51.32 / $54.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.20 / $67.83 / $88.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.36 / $90.74 / $90.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $65.04 / $97.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $40.98 / $52.47