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Utah rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.45 / $27.45 / $27.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $34.54 / $291.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $73.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $62.22 / $80.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.63 / $83.23 / $83.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.39 / $59.66 / $89.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $42.52 / $54.44