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Utah rates for HCPCS L8400

Prosthetic Sheath Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $8.16 / $72.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $15.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $13.84 / $18.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $18.45 / $18.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $13.22 / $19.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.43 / $13.52