go back

Utah rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.94 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $11.75 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.13 / $23.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.48 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $15.85 / $17.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.22 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $8.71 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.61 / $10.00