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Utah rates for HCPCS L5950

Addition Endoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $300.75 / $300.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.75 / $302.54 / $2,694.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $583.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $583.49 / $622.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.14 / $708.30 / $920.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.58 / $947.50 / $947.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.54 / $679.17 / $1,018.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.63 / $465.86 / $701.76