go back

Utah rates for HCPCS L1660

Hip orthosis (HO), abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $114.82 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $141.25 / $181.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $169.82 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $208.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $95.50 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $138.04