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Utah rates for HCPCS 29515

Application Short Leg Splint Calf Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.32 / $315.61 / $685.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $92.58 / $328.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.43 / $81.45 / $118.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $61.16 / $75.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.72 / $298.76 / $435.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $106.85 / $164.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.30 / $73.80 / $120.22