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Utah rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.53 / $1,270.53 / $1,270.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.53 / $1,704.09 / $15,175.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $2,481.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $2,909.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.49 / $2,879.83 / $3,743.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,454.24 / $3,852.38 / $3,852.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.67 / $2,761.39 / $4,142.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.03 / $2,624.05 / $2,965.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.97 / $1,968.04 / $2,823.40