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Utah rates for HCPCS L5535

Preparatory Below Knee Ptb Type Socket Non-Alignable System No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.54 / $655.54 / $655.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.54 / $879.24 / $7,830.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.83 / $1,271.83 / $1,271.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.44 / $1,271.83 / $1,309.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.24 / $1,485.88 / $1,931.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.25 / $1,987.68 / $1,987.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.84 / $1,424.77 / $2,137.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.84 / $1,015.43 / $1,456.76