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Utah rates for HCPCS L1280

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $31.30 / $31.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $43.40 / $373.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $75.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.15 / $70.95 / $92.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.10 / $94.91 / $94.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.05 / $68.03 / $102.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.96 / $48.49 / $62.08