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Utah rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $31.36 / $31.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.36 / $44.34 / $374.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.99 / $83.99 / $83.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.31 / $83.99 / $89.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.23 / $71.09 / $92.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.27 / $95.10 / $95.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.15 / $68.17 / $102.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.86 / $48.58 / $57.06