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Utah rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.11 / $28.71 / $255.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $54.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $66.98 / $87.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.34 / $89.61 / $89.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.03 / $64.23 / $96.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $40.45 / $58.02