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Utah rates for HCPCS L1040

Addition To Ctlso Or Scoliosis Orthosis Lumbar Or Lumbar Rib Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $28.31 / $28.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $52.78 / $338.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $71.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $64.16 / $83.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.95 / $85.83 / $85.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.87 / $61.52 / $92.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $43.85 / $56.14