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Utah rates for HCPCS L2005

Knee-ankle-foot orthosis (KAFO), any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated

Facilitymedian $2,754 · 10th–90th $1,413–$5,0120%20%40%10th90th$2,754Professionalmedian $3,467 · 10th–90th $1,413–$20,8930%5%10%10th90th$3,467$50.0$200.0$1.0K$5.0K$20.0K

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
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,818.38 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $4,677.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,011.87 / $5,011.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,548.13 / $5,370.32
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,011.87 / $5,128.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,128.61 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,187.76 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,187.76 / $3,715.35