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Utah rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $21.88 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $24.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.30 / $34.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.90 / $53.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.70 / $38.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $35.48 / $39.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $36.31 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $17.78 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.78 / $25.70