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Utah rates for HCPCS L5966

Addition Endoskeletal System Hip Disarticulation Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.31 / $461.31 / $461.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.31 / $568.79 / $5,065.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $931.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.04 / $1,179.10 / $1,532.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.29 / $1,577.30 / $1,577.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.16 / $1,130.60 / $1,695.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.19 / $714.57 / $1,025.14