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Utah rates for HCPCS L2840

Addition To Lower Extremity Orthosis Tibial Length Sock Fracture Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $29.31 / $142.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $31.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $31.92 / $34.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $35.93 / $46.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.10 / $48.07 / $48.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $34.45 / $51.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.87 / $24.34 / $30.28