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Utah rates for HCPCS L2126

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.49 / $434.49 / $434.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.49 / $527.07 / $4,453.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $842.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $868.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.68 / $1,105.95 / $1,437.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.54 / $1,479.44 / $1,479.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.44 / $1,060.47 / $1,590.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.08 / $667.02 / $809.43