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Utah rates for HCPCS L2184

Addition to lower extremity fracture orthosis, limited motion knee joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $85.11 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $112.20 / $144.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $134.90 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $109.65 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $154.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $69.18 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $100.00