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Utah rates for HCPCS L2340

Addition To Lower Extremity Pre-Tibial Shell Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.16 / $162.16 / $162.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.16 / $274.92 / $1,936.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.76 / $319.76 / $319.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.42 / $233.42 / $583.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.89 / $367.57 / $477.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.89 / $491.71 / $491.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $352.46 / $528.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $251.20 / $321.63