go back

Utah rates for HCPCS L5341

Hemipelvectomy Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $1,953.69 / $1,953.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.69 / $2,620.38 / $23,335.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $4,197.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,295.42 / $5,315.20 / $6,909.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,375.36 / $7,110.20 / $7,110.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,048.79 / $5,096.59 / $7,644.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.44 / $3,026.25 / $4,341.54