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Utah rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.11 / $159.11 / $159.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.11 / $224.93 / $1,900.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $387.54 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $399.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.56 / $400.91 / $521.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.87 / $536.29 / $536.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.39 / $384.42 / $576.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.35 / $244.25 / $303.82