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Utah rates for HCPCS L2620

Addition to lower extremity, pelvic control, hip joint, heavy-duty, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $218.78 / $288.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $263.03 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $213.80 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $363.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $151.36 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $213.80