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Utah rates for HCPCS L5160

Knee Disarticulation (Or Through Knee) Molded Socket Bent Knee Configuration External Knee Joints Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.53 / $1,476.53 / $1,476.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.53 / $1,980.38 / $17,636.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $3,780.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,327.00 / $3,753.23 / $4,879.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,501.84 / $5,020.72 / $5,020.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,858.98 / $3,598.86 / $5,398.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.07 / $2,287.12 / $3,194.91