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Utah rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,000.00 / $1,288.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $2,089.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,445.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,380.38 / $1,412.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $602.56 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $870.96