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Utah rates for HCPCS L2020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.68 / $423.68 / $423.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.68 / $587.45 / $5,060.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $830.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $830.86 / $885.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.39 / $960.32 / $1,248.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.86 / $1,284.63 / $1,284.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.51 / $920.82 / $1,381.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.85 / $656.27 / $1,004.27