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Utah rates for HCPCS L1240

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $28.17 / $28.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $39.83 / $336.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $66.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.74 / $63.86 / $83.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.59 / $85.43 / $85.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.64 / $61.24 / $91.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.53 / $43.64 / $55.88