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Utah rates for HCPCS L5981

All Lower Extremity Prostheses Flex-Walk System Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.38 / $1,113.38 / $1,113.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.38 / $1,273.77 / $11,343.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $2,533.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.98 / $2,830.62 / $3,679.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,395.21 / $3,786.55 / $3,786.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,156.19 / $2,714.20 / $4,071.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.17 / $1,724.61 / $2,474.17