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Utah rates for HCPCS L8440

Prosthetic shrinker, below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $30.20 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $37.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $47.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $43.65 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $35.48 / $53.70
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $51.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $51.29 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $33.11 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $25.12 / $37.15