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Utah rates for HCPCS L2380

Addition to lower extremity, torsion control, straight knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $83.18 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $134.90 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $162.18 / $281.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $190.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $69.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $100.00