go back

Utah rates for HCPCS L2415

Addition To Knee Lock With Integrated Release Mechanism ( Bail Cable Or Equal) Any Material Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.11 / $42.11 / $42.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $48.78 / $412.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $81.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $81.70 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.99 / $108.06 / $140.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.61 / $144.55 / $144.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $103.61 / $155.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $65.23 / $82.76