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Utah rates for HCPCS L0220

Thoracic, Rib Belt, Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.44 / $44.44 / $44.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $82.16 / $398.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $86.21 / $86.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.93 / $86.21 / $91.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.45 / $100.73 / $130.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $134.74 / $134.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $96.59 / $144.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $68.22 / $80.84