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Utah rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $36.70 / $36.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $44.46 / $375.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $86.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $83.19 / $108.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.78 / $111.28 / $111.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.36 / $79.77 / $119.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.51 / $56.85 / $72.79