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Utah rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $104.71 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $147.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $151.36 / $263.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $173.78 / $190.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $87.10 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $87.10 / $123.03