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Utah rates for HCPCS L5630

Addition To Lower Extremity Symes Type Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.49 / $173.49 / $173.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.49 / $214.25 / $1,907.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $393.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $776.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.25 / $429.45 / $558.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.11 / $574.48 / $574.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.12 / $411.79 / $617.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.64 / $268.73 / $375.39