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Utah rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.47 / $114.47 / $114.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.47 / $161.83 / $1,367.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $243.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $437.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.86 / $259.45 / $337.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.20 / $347.09 / $347.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.64 / $248.79 / $373.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.84 / $177.31 / $208.25