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Utah rates for HCPCS L5678

Additions To Lower Extremi, Below Knee, Joint Covers, Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $15.35 / $15.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $20.59 / $183.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $29.77 / $35.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.27 / $59.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.31 / $60.56 / $60.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.50 / $43.41 / $65.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $23.77 / $34.11