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Utah rates for HCPCS L1970

Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.19 / $258.19 / $258.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.19 / $481.47 / $2,511.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.74 / $544.74 / $544.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.66 / $544.74 / $638.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.18 / $614.80 / $799.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.44 / $822.44 / $822.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.34 / $589.53 / $884.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.27 / $399.93 / $512.07