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Utah rates for HCPCS L5688

Addition To Lower Extremity Below Knee Waist Belt Webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $31.67 / $282.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $45.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $45.81 / $48.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $53.53 / $69.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $71.59 / $71.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.77 / $51.32 / $76.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.48 / $36.58 / $52.47