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Utah rates for HCPCS L1080

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $38.02 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $41.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $58.88 / $75.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $70.79 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $57.54 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $81.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $81.28 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $30.90 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $30.90 / $44.67