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Utah rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $7.52 / $7.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $10.08 / $89.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $29.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $17.10 / $23.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.44 / $22.79 / $22.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $16.34 / $24.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $11.65 / $16.71