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Utah rates for HCPCS L2050

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $346.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $436.52 / $562.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $524.81 / $891.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $588.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $602.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $269.15 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $380.19