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Utah rates for HCPCS L2136

Kafo Fracture Orthosis Femoral Fracture Cast Orthosis Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.10 / $429.10 / $429.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.10 / $606.64 / $5,125.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.50 / $832.50 / $832.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.73 / $832.50 / $857.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.79 / $1,093.21 / $1,421.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.25 / $1,462.39 / $1,462.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.74 / $1,048.24 / $1,572.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.14 / $664.67 / $664.67