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Utah rates for HCPCS L2525

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $851.14 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,122.02 / $1,479.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $2,344.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,096.48 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,548.82 / $1,584.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $977.24