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Utah rates for HCPCS L5960

Addition Endoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.67 / $372.67 / $372.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.67 / $374.88 / $3,338.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $991.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.71 / $844.70 / $1,098.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.18 / $1,129.96 / $1,129.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.44 / $809.96 / $1,214.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.21 / $577.25 / $828.15