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Utah rates for HCPCS E1816

Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,000.00 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $138.04 / $181.97
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $128.82 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $158.49