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Utah rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $34.67 / $60.26