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Utah rates for HCPCS L5728

Addition Exoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $919.83 / $919.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.83 / $1,233.72 / $10,986.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $3,406.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.02 / $2,509.71 / $3,262.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,010.30 / $3,357.28 / $3,357.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.74 / $2,406.50 / $3,609.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.48 / $1,424.81 / $2,044.07