go back

Utah rates for HCPCS L2405

Addition To Knee Joint Drop Lock Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.22 / $30.22 / $30.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.01 / $295.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $67.95 / $67.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.61 / $67.95 / $72.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $77.52 / $100.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $103.70 / $103.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.05 / $74.33 / $111.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $46.81 / $59.94