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Utah rates for HCPCS L5644

Addition To Lower Extremity Above Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.32 / $228.32 / $228.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.32 / $229.68 / $2,045.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $544.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.81 / $690.03 / $897.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.66 / $923.06 / $923.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.63 / $661.65 / $992.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $353.67 / $506.11