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Utah rates for HCPCS L5618

Addition To Lower Extremity Test Socket Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.72 / $108.72 / $108.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.72 / $112.29 / $999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.68 / $271.68 / $271.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $271.68 / $289.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.78 / $246.42 / $320.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.58 / $329.64 / $329.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.71 / $236.29 / $354.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $168.40 / $240.99