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Utah rates for HCPCS L5634

Addition To Lower Extremity Symes Type Posterior Opening (Canadian) Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $117.59 / $117.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.59 / $157.72 / $1,404.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $292.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.33 / $355.38 / $461.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.26 / $475.39 / $475.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.70 / $340.76 / $511.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.46 / $182.14 / $261.31