go back

Utah rates for HCPCS L2800

Addition To Lower Extremity Orthosis Knee Control Knee Cap Medial Or Lateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $38.70 / $38.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.70 / $53.67 / $462.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $75.09 / $80.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.87 / $96.22 / $125.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.41 / $128.71 / $128.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $92.26 / $138.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.06 / $59.95 / $76.76