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Utah rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $588.84 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $851.14 / $1,122.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,778.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,202.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $1,202.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $501.19 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $724.44