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Utah rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Facilitymedian $100 · 10th–90th $56–$2090%20%40%10th90th$100Professionalmedian $123 · 10th–90th $56–$9330%10%10th90th$123$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $117.49 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $112.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $151.36 / $199.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $208.93 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $213.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $87.10 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $87.10 / $165.96