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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
$44.95 / $44.95 / $44.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.95 / $47.66 / $402.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.28 / $90.28 / $90.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $90.28 / $92.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.19 / $111.60 / $145.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.86 / $149.29 / $149.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.02 / $107.01 / $160.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $69.62 / $89.15