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Utah rates for HCPCS L5706

Custom shaped protective cover, knee disarticulation

Facilitymedian $724 · 10th–90th $355–$1,2020%20%40%10th90th$724Professionalmedian $871 · 10th–90th $355–$5,1290%10%10th90th$871$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $660.69 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $954.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $870.96 / $1,122.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,202.26 / $1,202.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,202.26 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $724.44 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $549.54 / $912.01