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Utah rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,668.97 / $20,668.97 / $20,668.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,371.35 / $20,668.97 / $28,804.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $31,019.05 / $49,880.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,579.94 / $38,557.01 / $38,557.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,637.68 / $27,637.68 / $41,456.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,905.66 / $19,874.21 / $21,530.40