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Utah rates for HCPCS L2116

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.31 / $258.31 / $258.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.00 / $365.18 / $3,085.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $501.14 / $501.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $534.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.00 / $585.49 / $761.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.27 / $783.22 / $783.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.99 / $561.41 / $842.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.29 / $400.12 / $469.93