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Utah rates for HCPCS L2425

Addition To Knee Joint Disc Or Dial Lock For Adjustable Knee Flexion Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.69 / $49.69 / $49.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $77.54 / $486.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.24 / $104.24 / $104.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $104.24 / $111.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.03 / $127.48 / $165.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $170.54 / $170.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.10 / $122.24 / $183.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.27 / $76.97 / $98.55