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Utah rates for HCPCS L1710

Legg Perthes Orthotic, (Newington Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.64 / $648.64 / $648.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.64 / $917.01 / $7,747.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,544.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,544.16 / $1,590.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.54 / $1,470.23 / $1,911.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.48 / $1,966.74 / $1,966.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.93 / $1,409.77 / $2,114.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.94 / $1,004.74 / $1,286.48