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Utah rates for HCPCS L2186

Addition to lower extremity fracture orthosis, adjustable motion knee joint, Lerman type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.63 / $54.63 / $54.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.63 / $57.92 / $489.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.06 / $120.06 / $120.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.64 / $120.06 / $127.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.92 / $148.26 / $192.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.94 / $142.16 / $213.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.01 / $84.62 / $108.34