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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
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $29.51 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $46.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $42.66 / $74.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $52.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $48.98 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $50.12 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $24.55 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $35.48