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Utah rates for HCPCS L1700

Legg Perthes Orthotic, (Toronto Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.10 / $554.10 / $554.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.10 / $783.36 / $6,618.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,249.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.69 / $1,255.96 / $1,632.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.47 / $1,680.10 / $1,680.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.71 / $1,204.30 / $1,806.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.04 / $858.30 / $1,008.06