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Utah rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.15 / $1,988.15 / $1,988.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.15 / $2,666.60 / $23,747.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $5,010.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,229.63 / $5,209.09 / $6,771.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,248.10 / $6,968.26 / $6,968.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,967.97 / $4,994.85 / $7,492.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.63 / $3,079.62 / $4,418.10