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Utah rates for HCPCS L5710

Addition Exoskeletal Knee-Shin System Single Axis Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.03 / $139.03 / $139.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.03 / $186.48 / $1,660.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $279.26 / $279.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.86 / $279.26 / $293.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.55 / $371.86 / $483.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.03 / $497.44 / $497.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $356.57 / $534.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $287.68 / $287.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.12 / $215.36 / $358.93