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Utah rates for HCPCS L5666

Addition To Lower Extremity Below Knee Cuff Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $27.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.06 / $36.29 / $323.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $59.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $59.87 / $63.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.16 / $61.33 / $79.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $82.04 / $82.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $58.81 / $88.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.84 / $41.92 / $60.13