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Utah rates for HCPCS L5790

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $277.95 / $277.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.95 / $343.91 / $3,062.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $582.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $620.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.60 / $630.01 / $819.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.67 / $842.77 / $842.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.91 / $604.10 / $906.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.74 / $430.54 / $616.12