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Utah rates for HCPCS L4070

Replace proximal and distal upright for KAFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $229.09 / $302.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $275.42 / $478.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $316.23 / $380.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $158.49 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $229.09