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Utah rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Facilitymedian $234 · 10th–90th $120–$3800%20%40%10th90th$234Professionalmedian $263 · 10th–90th $120–$2,1880%10%10th90th$263$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $234.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $275.42 / $363.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $380.19 / $380.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $426.58
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $190.55 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $190.55 / $302.00