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Utah rates for HCPCS L2050

Hip Knee Ankle Foot Orthosis Torsion Control Bilateral Torsion Cables Hip Joint Pelvic Band/Belt Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.85 / $172.85 / $172.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.85 / $244.36 / $2,064.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.34 / $335.34 / $335.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.80 / $335.34 / $345.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.75 / $433.47 / $563.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.92 / $579.85 / $579.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.20 / $415.64 / $623.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $267.73 / $342.81