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Utah rates for HCPCS L2375

Addition To Lower Extremity Torsion Control Ankle Joint And Half Solid Stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $41.00 / $41.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $57.96 / $489.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $104.21 / $104.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $76.06 / $171.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $92.92 / $120.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.46 / $124.31 / $124.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.78 / $89.10 / $133.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.72 / $63.50 / $91.11