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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
$442.31 / $442.31 / $442.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.31 / $583.72 / $4,931.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.38 / $888.38 / $888.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.52 / $888.38 / $947.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.87 / $1,127.22 / $1,465.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.06 / $1,507.90 / $1,507.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.66 / $1,080.85 / $1,621.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.44 / $685.12 / $877.24