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Utah rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.25 / $46.25 / $46.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.25 / $50.35 / $452.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $76.68 / $76.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $76.68 / $87.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $64.56 / $84.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.05 / $86.05 / $103.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.04 / $77.11 / $97.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.71 / $71.65 / $76.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $70.15 / $71.65