go back

Utah rates for HCPCS L1300

Other Scoliosis Procedure, Body Jacket Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.11 / $606.11 / $606.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.11 / $968.71 / $7,239.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,277.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $1,498.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.52 / $1,707.30 / $2,219.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.84 / $2,283.88 / $2,283.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.52 / $1,637.08 / $2,455.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.11 / $938.86 / $1,202.10