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Utah rates for HCPCS L5973

Endoskeletal Ankle Foot System, Microprocessor Controlled Featu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,770.92 / $7,770.92 / $7,770.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,770.92 / $7,770.92 / $59,763.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $12,752.32 / $13,594.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,634.31 / $15,539.22 / $20,200.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,638.65 / $20,786.98 / $20,786.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,836.83 / $14,900.11 / $22,350.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,477.36 / $9,388.91 / $14,143.08