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Utah rates for HCPCS L2580

Addition To Lower Extremity Pelvic Control Pelvic Sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.40 / $168.40 / $168.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.40 / $233.49 / $2,011.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $373.35 / $373.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.55 / $373.35 / $384.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.54 / $499.26 / $649.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.84 / $667.86 / $667.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.30 / $478.72 / $718.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.24 / $260.85 / $374.22