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Utah rates for HCPCS L5711

Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.85 / $201.85 / $201.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.85 / $270.73 / $2,410.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $468.67 / $468.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $468.67 / $482.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.66 / $457.52 / $594.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.77 / $612.03 / $612.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.51 / $438.70 / $658.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.20 / $383.20 / $383.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.31 / $312.66 / $447.43