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Utah rates for HCPCS L2540

Addition To Lower Extremity Thigh/Weight Bearing Lacer Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.41 / $153.41 / $153.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.41 / $216.88 / $1,832.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $297.62 / $297.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $297.62 / $317.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.68 / $394.66 / $513.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.38 / $527.94 / $527.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.63 / $378.43 / $567.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.06 / $237.62 / $304.25