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Utah rates for HCPCS L2330

Addition To Lower Extremity Lacer Molded To Patient Model For Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $142.47 / $142.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.47 / $254.36 / $1,701.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $367.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.68 / $355.95 / $462.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.94 / $476.15 / $476.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.14 / $341.31 / $511.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.80 / $220.69 / $282.57