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Utah rates for HCPCS L2080

Hip Knee Ankle Foot Orthosis Torsion Control Unilateral Torsion Cable Hip Joint Pelvic Band/Belt Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.51 / $130.51 / $130.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.51 / $184.51 / $1,558.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.20 / $253.20 / $253.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.84 / $253.20 / $260.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.40 / $295.82 / $384.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.82 / $395.72 / $395.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.34 / $283.64 / $425.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.29 / $202.16 / $258.83