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Utah rates for HCPCS L5632

Addition To Lower Extremity Symes Type Ptb Brim Design Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $85.83 / $85.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.83 / $91.89 / $818.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $188.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.27 / $239.16 / $310.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.86 / $319.93 / $319.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $229.33 / $343.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.05 / $132.94 / $190.74