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Utah rates for HCPCS L1730

Legg Perthes orthosis, (Scottish Rite type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $933.25 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,949.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $1,348.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $630.96 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $912.01