go back

Utah rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.38 / $129.38 / $129.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.38 / $182.90 / $1,545.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $251.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $251.00 / $258.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.80 / $293.24 / $381.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.74 / $392.28 / $392.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.38 / $281.18 / $421.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.97 / $200.40 / $256.58