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Utah rates for HCPCS L5665

Addition To Lower Extremity Socket Insert Multi-Durometer Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $197.93 / $197.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.93 / $265.48 / $2,364.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $482.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.15 / $448.64 / $583.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.12 / $600.15 / $600.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.75 / $430.19 / $645.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.47 / $306.58 / $438.75