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Utah rates for HCPCS L1650

Hip Orthosis Abduction Control Of Hip Joints Static Adjustable (Ilfled Type) Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.01 / $84.01 / $84.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.01 / $122.77 / $878.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $190.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $203.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.03 / $214.58 / $278.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.38 / $287.04 / $287.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.44 / $205.75 / $308.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.98 / $130.13 / $156.50