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Utah rates for HCPCS L5700

Replacement Socket Below Knee Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.63 / $1,058.63 / $1,058.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.63 / $1,419.88 / $12,644.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $2,814.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.53 / $2,486.34 / $3,232.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.27 / $3,326.01 / $3,326.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.95 / $2,384.08 / $3,576.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.60 / $1,639.81 / $2,352.51