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Utah rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.57 / $123.57 / $123.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.57 / $143.15 / $1,209.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $252.01 / $252.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $252.01 / $268.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.52 / $316.98 / $412.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.20 / $424.03 / $424.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.46 / $303.95 / $455.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.06 / $189.71 / $230.21