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Utah rates for HCPCS L1810

Knee Orthosis Elastic With Joints Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $105.88 / $105.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $66.64 / $422.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $94.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $83.05 / $107.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $111.09 / $111.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $79.63 / $119.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $54.86 / $66.56