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Utah rates for HCPCS L2750

Addition To Lower Extremity Orthosis Plating Chrome Or Nickel Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $30.33 / $30.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.33 / $32.15 / $271.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.84 / $58.84 / $58.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $58.84 / $62.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $68.73 / $89.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.45 / $91.95 / $91.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $65.91 / $98.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.10 / $46.98 / $60.15