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Utah rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $14.41 / $14.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $20.37 / $172.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $29.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $53.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $35.32 / $46.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.36 / $47.25 / $47.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $33.86 / $50.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $22.32 / $28.58