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Utah rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $281.93 / $281.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.93 / $378.14 / $3,367.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $612.94 / $653.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.19 / $827.74 / $1,076.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.84 / $1,107.28 / $1,107.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.51 / $793.70 / $1,190.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.92 / $577.08 / $582.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.31 / $436.70 / $626.51