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Utah rates for HCPCS L0830

Halo Procedure Cervical Halo Incorporated Into Milwaukee Type Orthosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.80 / $1,137.80 / $1,137.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.80 / $1,608.56 / $13,590.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.59 / $2,507.59 / $2,507.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.54 / $2,507.59 / $2,582.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.97 / $2,578.98 / $3,352.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,093.39 / $3,449.94 / $3,449.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.52 / $2,472.92 / $3,709.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.09 / $1,746.73 / $2,119.64