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Utah rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.49 / $157.49 / $157.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.49 / $158.41 / $1,410.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $305.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $305.54 / $339.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.17 / $429.31 / $558.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.94 / $574.29 / $574.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.02 / $411.65 / $617.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.49 / $243.95 / $406.58