go back

Utah rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $26.73 / $26.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $41.79 / $257.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $56.56 / $64.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $67.48 / $87.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.95 / $90.28 / $90.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.41 / $64.72 / $97.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.39 / $41.41 / $41.41