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Utah rates for HCPCS L5785

Addition Exoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $200.84 / $200.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.84 / $213.60 / $1,902.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.65 / $415.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.24 / $455.24 / $591.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.03 / $608.98 / $608.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $436.51 / $654.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $311.10 / $446.31