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Utah rates for HCPCS L1310

Other scoliosis procedure, postoperative body jacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.69 / $623.69 / $623.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.69 / $805.24 / $6,803.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.15 / $1,399.15 / $1,399.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.38 / $1,399.15 / $1,441.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.90 / $1,807.91 / $2,350.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,168.52 / $2,418.46 / $2,418.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.15 / $1,733.56 / $2,600.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.43 / $966.08 / $1,161.88