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Utah rates for HCPCS L2190

Addition To Lower Extremity Fracture Orthosis Waist Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $31.69 / $31.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.69 / $33.60 / $283.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $61.48 / $63.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $74.39 / $96.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.23 / $99.51 / $99.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.67 / $71.33 / $107.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $49.09 / $62.85