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Utah rates for HCPCS L1831

Knee Orthosis Locking Knee Joint(S) Positional Orthosis Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $102.03 / $102.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.03 / $159.19 / $998.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $197.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $197.94 / $211.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.26 / $261.70 / $340.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.92 / $350.10 / $350.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.36 / $250.95 / $376.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.42 / $156.62 / $190.07