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Utah rates for HCPCS L2040

Hip Knee Ankle Foot Orthosis Torsion Control Bilateral Rotation Straps Pelvic Band/Belt Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $64.42 / $64.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.42 / $68.31 / $577.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $142.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $142.94 / $147.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $189.73 / $246.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.58 / $253.81 / $253.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.53 / $181.93 / $272.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $99.79 / $143.16