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Utah rates for HCPCS L8485

Prosthetic Sock Single Ply Fitting Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.59 / $49.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $9.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $9.63 / $10.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $11.73 / $15.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.01 / $15.63 / $15.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $11.21 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.66 / $9.55