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Utah rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.03 / $368.03 / $368.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.03 / $510.30 / $4,395.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $714.02 / $714.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $714.01 / $735.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.87 / $864.31 / $1,123.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.70 / $1,156.19 / $1,156.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.36 / $828.76 / $1,243.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.36 / $570.07 / $669.55