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Utah rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $436.52 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $562.34 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,174.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $812.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $758.58 / $812.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $380.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $549.54