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Utah rates for HCPCS L5978

All Lower Extremi Prostheses, Foot, Multiaxial Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.81 / $112.81 / $112.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.81 / $151.31 / $1,347.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $259.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.53 / $255.70 / $332.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.70 / $342.05 / $342.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $245.18 / $367.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.78 / $174.74 / $244.10