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Utah rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Facilitymedian $23 · 10th–90th $11–$350%20%40%10th90th$23Professionalmedian $24 · 10th–90th $11–$2090%5%10%10th90th$24$10.0$20.0$50.0$100.0$200.0

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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $20.89 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $34.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $35.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $39.81
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $39.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $17.78 / $28.84