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Utah rates for HCPCS L5610

Addition to lower extremity, endoskeletal system, above knee (AK), hydracadence system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.34 / $800.34 / $800.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.34 / $952.89 / $8,485.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.76 / $1,552.76 / $1,552.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.51 / $1,133.51 / $3,554.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.54 / $2,349.26 / $3,054.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,817.84 / $3,142.63 / $3,142.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.53 / $2,252.64 / $3,378.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.35 / $1,239.72 / $1,774.10