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Utah rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $224.98 / $224.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.98 / $253.34 / $2,256.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $592.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.56 / $679.94 / $883.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.55 / $909.56 / $909.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.92 / $651.97 / $977.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.66 / $348.49 / $499.95