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Utah rates for HCPCS L5050

Ankle, Symes, Molded Socket, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.16 / $887.16 / $887.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.16 / $1,035.39 / $9,220.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $2,221.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.48 / $2,181.42 / $2,835.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.52 / $2,918.11 / $2,918.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.67 / $2,091.69 / $3,137.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.16 / $1,832.26 / $2,070.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.78 / $1,374.19 / $1,971.46