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Utah rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $19.75 / $19.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.75 / $24.14 / $214.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $47.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $52.88 / $68.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.43 / $70.73 / $70.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $50.71 / $76.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $30.59 / $54.33