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Utah rates for HCPCS L5020

Partial Foot Molded Socket Tibial Tubercle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.08 / $766.08 / $766.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.08 / $1,027.50 / $9,150.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $1,621.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.02 / $2,053.26 / $2,669.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,462.81 / $2,746.67 / $2,746.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.05 / $1,968.81 / $2,953.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.44 / $1,186.65 / $1,702.40