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Utah rates for HCPCS L5100

Below Knee, Molded Socket, Shin, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.44 / $898.44 / $898.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.44 / $1,045.44 / $9,310.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $3,856.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.59 / $2,036.44 / $2,647.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,442.62 / $2,724.16 / $2,724.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.24 / $1,952.69 / $2,929.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.56 / $1,391.68 / $1,996.54