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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
$323.31 / $323.31 / $323.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.31 / $457.08 / $3,861.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $627.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $1,175.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.68 / $855.95 / $1,112.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.68 / $1,145.02 / $1,145.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.02 / $820.75 / $1,231.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.34 / $500.81 / $567.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.13 / $496.34 / $641.24