go back

Utah rates for HCPCS L1640

Hip Orthosis Abduction Control Of Hip Joints Static Pelvic Band Or Spreader Bar Thigh Cuffs Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.43 / $167.43 / $167.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.43 / $177.52 / $1,499.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $661.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.68 / $465.62 / $605.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.49 / $622.86 / $622.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $446.47 / $669.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $259.33 / $396.86