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Utah rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $776.25 / $1,023.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $933.25 / $1,621.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,148.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,202.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $524.81 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $741.31