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Utah rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.05 / $882.05 / $882.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.05 / $1,172.11 / $10,438.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,911.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.47 / $2,420.12 / $3,146.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,902.83 / $3,237.42 / $3,237.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.49 / $2,320.58 / $3,480.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.79 / $1,366.29 / $1,960.12