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Utah rates for HCPCS L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.51 / $31.51 / $31.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.51 / $58.75 / $376.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $72.18 / $72.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $72.18 / $76.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $95.22 / $123.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.22 / $127.39 / $127.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.54 / $91.31 / $136.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $48.81 / $62.49