go back

Utah rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Facilitymedian $245 · 10th–90th $117–$4900%20%40%10th90th$245Professionalmedian $339 · 10th–90th $117–$2,1380%10%10th90th$339$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $245.47 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $354.81 / $457.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $489.78 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $346.74 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $489.78 / $501.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $501.19 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $245.47 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $181.97 / $354.81