go back

Utah rates for HCPCS L2265

Addition To Lower Extremity Long Tongue Stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.73 / $42.73 / $42.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.73 / $60.41 / $510.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $106.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $106.22 / $113.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $96.86 / $125.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.18 / $129.57 / $129.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $92.88 / $139.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.16 / $65.59 / $66.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.83 / $66.19 / $84.75