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Utah rates for HCPCS L2280

Addition to lower extremity, molded inner boot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $309.03 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $371.54 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $446.68 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $363.08 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $524.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $257.04 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $363.08