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Utah rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $562.79 / $562.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.79 / $684.09 / $6,092.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $1,416.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.77 / $1,477.05 / $1,920.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.66 / $1,975.86 / $1,975.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.11 / $1,416.30 / $2,124.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.12 / $871.76 / $1,250.65