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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
$672.46 / $672.46 / $672.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.46 / $766.93 / $6,829.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $1,654.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.01 / $1,524.22 / $1,981.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.24 / $2,038.96 / $2,038.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.06 / $1,461.53 / $2,192.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.50 / $1,041.63 / $1,494.35