go back

Utah rates for HCPCS L5636

Addition To Lower Extremity Symes Type Medial Opening Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $98.50 / $98.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.50 / $99.08 / $882.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $235.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.56 / $297.68 / $386.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.05 / $398.20 / $398.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.75 / $285.43 / $428.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.76 / $152.57 / $218.89