go back

Utah rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $69.18 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $91.20 / $117.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $109.65 / $190.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $89.13 / $123.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $125.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $57.54 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $57.54 / $83.18