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Utah rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Facilitymedian $65 · 10th–90th $37–$1450%20%40%10th90th$65Professionalmedian $98 · 10th–90th $37–$5750%10%10th90th$98$50.0$100.0$200.0$500.0

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
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $79.43 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $91.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $104.71 / $138.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $144.54 / $144.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $102.33 / $134.90
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $144.54 / $147.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $102.33