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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
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $89.13 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $91.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $100.00 / $131.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $120.23 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $138.04 / $147.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $67.61 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $97.72