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Utah rates for HCPCS L2570

Addition to lower extremity, pelvic control, hip joint, Clevis type two-position joint, each

Facilitymedian $347 · 10th–90th $174–$5370%20%40%10th90th$347Professionalmedian $372 · 10th–90th $174–$3,0900%10%10th90th$372$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $346.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $389.05 / $512.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $537.03 / $537.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $602.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $562.34
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $549.54 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $269.15 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $269.15 / $426.58