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Utah rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.50 / $1,091.50 / $1,091.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.50 / $1,192.15 / $10,616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $2,677.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $2,854.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.08 / $2,782.40 / $3,617.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,337.38 / $3,722.05 / $3,722.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.46 / $2,667.97 / $4,001.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.57 / $1,690.72 / $2,425.56