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Utah rates for HCPCS L1001

Cervical Thoracic Lumbar Sacral Orthosis Immobolizer Infant Size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $60.00 / $60.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.00 / $60.00