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Utah rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.44 / $38.00 / $38.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.44 / $60.49 / $307.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $73.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.74 / $73.51 / $95.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.18 / $98.34 / $98.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $70.48 / $105.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.60 / $49.79 / $59.00