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Utah rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Facilitymedian $389 · 10th–90th $186–$7760%20%40%10th90th$389Professionalmedian $562 · 10th–90th $186–$3,3880%10%10th90th$562$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
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $389.05 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $501.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $562.34 / $741.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $776.25 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $562.34 / $741.31
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $776.25 / $794.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $575.44