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Utah rates for HCPCS L0984

Protective body sock, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $21.72 / $21.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.72 / $26.31 / $222.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $39.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $54.80 / $71.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.73 / $73.31 / $73.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.74 / $52.55 / $78.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $33.65 / $39.52