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Utah rates for HCPCS L5718

Addition Exoskeletal Knee-Shin System Polycentric Friction Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.15 / $352.15 / $352.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.15 / $472.32 / $4,206.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $719.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $719.79 / $840.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.84 / $1,064.27 / $1,383.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.55 / $1,423.68 / $1,423.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.69 / $1,020.50 / $1,530.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.52 / $545.48 / $782.56