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Utah rates for HCPCS L2570

Addition To Lower Extremity Pelvic Control Hip Joint Clevis Type Two Position Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.83 / $172.83 / $172.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.83 / $244.33 / $2,064.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.13 / $347.13 / $347.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.40 / $347.13 / $370.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.87 / $391.73 / $509.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.87 / $524.03 / $524.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.39 / $375.62 / $563.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.61 / $267.70 / $342.77