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Utah rates for HCPCS L5810

Addition Endoskeletal Knee-Shin System Single Axis Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.20 / $188.20 / $188.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.20 / $252.43 / $2,248.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $483.85 / $483.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $483.85 / $515.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.65 / $473.63 / $615.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.10 / $633.58 / $633.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.78 / $454.15 / $681.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.42 / $389.42 / $389.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.23 / $291.52 / $486.59