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Utah rates for HCPCS L2850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.47 / $22.47 / $22.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $28.80 / $243.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $43.58 / $43.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $43.58 / $48.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $65.40 / $85.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.44 / $87.48 / $87.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $62.71 / $94.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $34.79 / $40.86