go back

Utah rates for HCPCS L5726

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,513.56 / $1,995.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $3,162.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $2,238.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,089.30 / $2,398.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,548.82