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Utah rates for HCPCS L5540

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $699.67 / $699.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.67 / $937.81 / $8,351.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,705.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.50 / $1,779.84 / $2,313.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.85 / $2,380.92 / $2,380.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.79 / $1,706.64 / $2,559.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.56 / $1,083.78 / $1,554.82