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Utah rates for HCPCS L5680

Addition To Lower Extremity Below Knee Thigh Lacer Nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $117.66 / $117.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.66 / $124.01 / $1,104.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $257.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.86 / $325.58 / $423.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.53 / $435.55 / $435.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.02 / $312.20 / $468.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.56 / $182.26 / $254.59