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Utah rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Facilitymedian $200 · 10th–90th $115$3550%20%40%10th90th$200Professionalmedian $257 · 10th–90th $115$2,0420%10%10th90th$257$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$257.04
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$354.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$398.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$389.05
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$281.84