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Utah rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Facilitymedian $46 · 10th–90th $23–$740%20%40%10th90th$46Professionalmedian $52 · 10th–90th $23–$4270%10%10th90th$52$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $43.65 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $45.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $53.70 / $69.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $74.13 / $74.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $83.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $85.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $74.13 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $48.98 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $58.88