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Utah rates for HCPCS L5714

Addition Exoskeletal Knee-Shin System Single Axis Variable Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $161.69 / $161.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $194.16 / $1,729.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $351.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.72 / $444.72 / $578.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.41 / $594.90 / $594.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.76 / $426.43 / $639.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.37 / $250.45 / $358.42