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Utah rates for HCPCS L2640

Addition To Lower Extremity Pelvic Control Band And Belt Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.94 / $121.94 / $121.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.94 / $172.39 / $1,456.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.56 / $243.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.35 / $276.38 / $359.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.51 / $369.72 / $369.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.53 / $265.01 / $397.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $188.88 / $241.84