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Utah rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $108.67 / $108.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.67 / $115.22 / $973.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $224.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.71 / $246.31 / $320.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.44 / $329.49 / $329.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.63 / $236.18 / $354.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.33 / $168.32 / $215.53