go back

Utah rates for HCPCS L5460

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.79 / $210.79 / $210.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.79 / $212.04 / $1,888.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.42 / $484.42 / $484.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $484.42 / $516.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.74 / $502.82 / $653.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.11 / $672.63 / $672.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.01 / $482.14 / $723.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.81 / $326.51 / $468.42