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Utah rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.53 / $1,109.53 / $1,109.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.53 / $1,731.30 / $10,859.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $2,480.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.57 / $2,846.09 / $3,699.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,413.77 / $3,807.25 / $3,807.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.98 / $2,729.03 / $4,093.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.70 / $1,703.33 / $2,018.54