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Utah rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $1,433.28 / $1,433.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.28 / $1,641.12 / $14,614.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $2,780.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $3,421.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,685.61 / $4,331.63 / $5,631.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,195.60 / $5,794.46 / $5,794.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,299.57 / $4,153.47 / $6,230.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.58 / $2,220.13 / $3,185.06