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Utah rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.24 / $235.24 / $235.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.24 / $292.50 / $2,604.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $456.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $456.40 / $470.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.59 / $533.22 / $693.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.57 / $713.29 / $713.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.17 / $511.29 / $766.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.01 / $364.39 / $522.76