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Utah rates for HCPCS L1000

Cervical-Thoracic-Lumbar-Sacral Orthosis (Ctlso) (Milwaukee) Inclusive Of Furnishing Initial Orthosis Including Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.66 / $736.66 / $736.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.66 / $1,041.44 / $8,798.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $1,599.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.35 / $1,945.74 / $2,529.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.83 / $2,602.83 / $2,602.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.15 / $1,865.71 / $2,798.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.45 / $1,141.07 / $1,461.05