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Utah rates for HCPCS L5600

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $3,890.45 / $5,011.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $4,677.35 / $8,128.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,801.89 / $5,888.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,370.32 / $6,918.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,495.41 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,548.13 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $3,981.07