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Utah rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.57 / $166.57 / $166.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.57 / $223.41 / $1,989.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $364.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $364.44 / $388.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.08 / $377.55 / $490.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.86 / $505.06 / $505.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.60 / $362.03 / $543.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.96 / $258.02 / $369.23