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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
$20.07 / $20.07 / $20.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $24.55 / $207.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.77 / $40.77 / $40.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $29.76 / $73.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $58.48 / $76.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.14 / $78.22 / $78.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.56 / $56.07 / $84.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $31.10 / $39.83