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Utah rates for HCPCS L1230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $206.26 / $206.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.26 / $228.36 / $1,929.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $412.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.28 / $621.42 / $807.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.38 / $831.30 / $831.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.37 / $595.88 / $893.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $319.49 / $384.25