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Utah rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.36 / $710.36 / $710.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.36 / $804.58 / $6,797.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $1,618.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,618.14 / $2,837.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.44 / $1,850.71 / $2,405.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,219.84 / $2,475.71 / $2,475.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.75 / $1,774.59 / $2,661.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.55 / $1,100.33 / $1,292.32