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Utah rates for HCPCS L5230

Above Knee For Proximal Femoral Focal Deficiency Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.57 / $1,470.57 / $1,470.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.57 / $1,972.39 / $17,565.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,853.06 / $3,510.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,765.62 / $4,444.32 / $5,777.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,330.78 / $5,945.21 / $5,945.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,385.41 / $4,261.53 / $6,392.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.73 / $2,277.89 / $3,267.93