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Utah rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.85 / $1,797.85 / $1,797.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.85 / $2,264.60 / $20,167.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,052.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $4,173.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,043.43 / $4,908.77 / $6,381.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,887.87 / $6,566.51 / $6,566.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.21 / $4,706.88 / $7,060.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.82 / $2,784.85 / $3,985.23