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Utah rates for HCPCS L1220

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.38 / $80.38 / $80.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.38 / $113.65 / $960.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $185.61 / $197.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.78 / $189.97 / $246.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.87 / $254.13 / $254.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $182.16 / $273.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.50 / $124.52 / $153.50