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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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $58.88 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $70.79 / $93.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $85.11 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $104.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $97.72 / $117.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $100.00 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $48.98 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $48.98 / $69.18