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Utah rates for HCPCS L5682

Addition To Lower Extremity Below Knee Thigh Lacer Gluteal/Ischial Molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $241.75 / $241.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.75 / $324.25 / $2,887.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $485.57 / $517.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.74 / $547.97 / $712.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.26 / $733.02 / $733.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.41 / $525.42 / $788.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.12 / $374.47 / $523.11