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Utah rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Facilitymedian $513 · 10th–90th $288–$1,0230%20%40%10th90th$513Professionalmedian $708 · 10th–90th $288–$4,2660%10%10th90th$708$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $575.44 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $741.31 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,023.29 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $724.44 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,023.29 / $1,047.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,047.13 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $758.58