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Utah rates for HCPCS L1685

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

Facilitymedian $832 · 10th–90th $427–$1,3490%20%40%10th90th$832Professionalmedian $933 · 10th–90th $427–$7,7620%10%10th90th$933$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $812.83 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $831.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $977.24 / $1,258.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,348.96 / $1,348.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,513.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,380.38 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $676.08 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $676.08 / $1,071.52