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Utah rates for HCPCS L2660

Addition to lower extremity, thoracic control, thoracic band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $125.89 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $204.17 / $263.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $245.47 / $426.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $234.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $288.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $104.71 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $151.36