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Utah rates for HCPCS L1685

Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $977.24 / $1,258.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $2,041.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,445.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,348.96 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $954.99