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Utah rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Facilitymedian $631 · 10th–90th $309–$1,2880%20%40%10th90th$631Professionalmedian $813 · 10th–90th $309–$4,6770%10%10th90th$813$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $630.96 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $933.25 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,288.25 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $912.01 / $1,122.02
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,288.25 / $1,288.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $537.03 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $831.76