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Utah rates for HCPCS L1960

Ankle-foot orthosis (AFO), posterior solid ankle, plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $457.09 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $549.54 / $954.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $676.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $630.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $309.03 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $446.68