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Utah rates for HCPCS L1040

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

Facilitymedian $50 · 10th–90th $28–$870%20%40%10th90th$50Professionalmedian $63 · 10th–90th $28–$5130%10%10th90th$63$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $52.48 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $66.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $64.57 / $83.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $87.10 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $97.72
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $109.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $43.65 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $43.65 / $70.79