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Utah rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $30.21 / $30.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $42.71 / $360.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $73.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $68.48 / $89.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.14 / $91.60 / $91.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $65.66 / $98.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.95 / $46.79 / $59.92