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Utah rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $45.51 / $45.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.51 / $84.85 / $508.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $102.60 / $120.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.95 / $122.51 / $159.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.94 / $163.88 / $163.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.32 / $117.47 / $176.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.65 / $70.48 / $82.79