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Utah rates for HCPCS L2035

Knee Ankle Foot Orthosis Full Plastic Static (Pediatric Size) Without Free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.43 / $60.43 / $60.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.43 / $69.56 / $587.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.05 / $147.05 / $147.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.35 / $107.35 / $244.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.51 / $154.06 / $200.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.78 / $206.08 / $206.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.34 / $147.72 / $221.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.92 / $91.65 / $95.25