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Utah rates for HCPCS L8420

Prosthetic sock, multiple ply, below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $14.13 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $17.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $20.42 / $35.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.60 / $25.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.44 / $24.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $15.49 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.75 / $17.38