go back

Utah rates for HCPCS L5010

Partial foot, molded socket, ankle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,174.90 / $1,513.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $2,454.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,584.89 / $1,621.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,096.48