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Utah rates for HCPCS L1960

Ankle Foot Orthosis Posterior Solid Ankle Plastic Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.12 / $201.12 / $201.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.12 / $278.87 / $2,402.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.66 / $523.66 / $523.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.98 / $382.28 / $865.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $455.87 / $571.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.79 / $609.82 / $609.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.25 / $437.12 / $655.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.93 / $311.54 / $441.56