go back

Utah rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.26 / $483.26 / $483.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.26 / $483.26 / $1,159.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $121.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $156.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $74.86 / $708.72