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Utah rates for HCPCS L5724

Addition, exoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,380.38 / $1,778.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,884.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $2,041.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,905.46 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,348.96