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Utah rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $40.78 / $40.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $76.04 / $429.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $92.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $170.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $105.90 / $137.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.03 / $141.66 / $141.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.68 / $101.55 / $152.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $63.16 / $80.88