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Utah rates for HCPCS L2108

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $387.68 / $387.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.68 / $506.88 / $4,282.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.40 / $1,000.66 / $1,300.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.25 / $1,338.59 / $1,338.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.24 / $959.50 / $1,439.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.20 / $600.52 / $768.91