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Utah rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.49 / $266.49 / $266.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.49 / $266.49 / $1,951.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $437.50 / $450.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $511.45 / $664.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.46 / $684.17 / $684.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.59 / $490.41 / $735.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.83 / $308.85 / $371.45