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Utah rates for HCPCS L2526

Addition To Lower Extremity Thigh/Weight Bearing Ischial Containment/Narrow M-L Brim Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.53 / $248.53 / $248.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.53 / $325.82 / $2,752.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $499.17 / $499.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.39 / $499.17 / $537.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.40 / $729.68 / $948.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.22 / $976.10 / $976.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.83 / $699.67 / $1,049.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.43 / $381.53 / $452.14