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Utah rates for HCPCS L2106

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.70 / $246.70 / $246.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $348.78 / $2,946.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.80 / $550.80 / $550.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $550.80 / $567.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.69 / $559.19 / $726.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.73 / $748.04 / $748.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.96 / $536.19 / $804.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.60 / $382.15 / $489.29