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Utah rates for HCPCS L0810

Halo procedure, cervical halo incorporated into jacket vest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,238.72 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $4,570.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $3,235.94
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,019.95 / $3,162.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $2,089.30