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Utah rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.85 / $74.30 / $84.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.74 / $59.18 / $301.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $76.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.66 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $60.86 / $70.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $54.53 / $70.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $48.73 / $49.17