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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
$102.11 / $102.11 / $102.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.11 / $144.36 / $1,219.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $205.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $205.09 / $218.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.49 / $231.45 / $300.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.62 / $309.62 / $309.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.31 / $221.94 / $332.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.85 / $158.16 / $202.53