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Utah rates for HCPCS L2200

Addition To Lower Extremity Limited Ankle Motion Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $17.25 / $17.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $24.39 / $206.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $39.15 / $41.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $52.13 / $67.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.53 / $69.73 / $69.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $49.99 / $74.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.53 / $26.72 / $34.21