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Utah rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.06 / $989.06 / $989.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.06 / $1,077.31 / $9,593.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.77 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,571.77 / $2,648.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.28 / $2,535.94 / $3,296.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,041.76 / $3,392.36 / $3,392.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.73 / $2,431.65 / $3,647.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.29 / $1,532.03 / $2,197.90