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Utah rates for HCPCS L2999

Lower Extremity Orthoses Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $26.40 / $26.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00