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Utah rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,659.59 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $3,467.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $2,454.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,290.87 / $2,691.53
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,479.11