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Utah rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.15 / $167.15 / $167.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.15 / $236.32 / $1,996.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.30 / $324.30 / $324.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $236.74 / $750.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.40 / $405.49 / $527.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.37 / $542.42 / $542.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.88 / $388.82 / $583.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $258.92 / $304.10