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Utah rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $37.83 / $37.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.83 / $50.73 / $451.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $103.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.35 / $85.74 / $111.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.84 / $114.69 / $114.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.31 / $82.22 / $123.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.90 / $58.60 / $84.06