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Utah rates for HCPCS L2830

Addition To Lower Extremity Orthosis Soft Interface For Molded Plastic Above Knee Section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $34.09 / $34.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $47.27 / $407.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $68.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $75.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $103.02 / $133.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.57 / $137.81 / $137.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $98.78 / $148.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $52.80 / $67.61