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Utah rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.37 / $51.37 / $51.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.37 / $68.89 / $613.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $99.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $99.66 / $106.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.69 / $120.48 / $156.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.52 / $161.16 / $161.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $115.53 / $173.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $79.56 / $114.15