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Utah rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.32 / $751.32 / $751.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.32 / $914.16 / $8,141.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.10 / $1,823.10 / $1,823.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $1,823.10 / $1,877.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.10 / $2,080.81 / $2,705.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,495.84 / $2,783.52 / $2,783.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.03 / $1,995.22 / $2,992.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.80 / $1,163.79 / $1,669.61