go back

Utah rates for HCPCS L0710

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, with interface material, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.80 / $757.80 / $757.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.80 / $1,071.33 / $9,051.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.06 / $1,549.06 / $1,549.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,549.06 / $1,595.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.97 / $1,962.86 / $2,551.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.37 / $2,625.74 / $2,625.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.18 / $1,882.13 / $2,823.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.10 / $1,173.83 / $1,411.73