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Utah rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $1,310.23 / $1,310.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.23 / $1,569.51 / $13,977.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $3,587.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.05 / $3,419.45 / $4,445.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,101.49 / $4,574.24 / $4,574.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.73 / $3,278.81 / $4,918.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.48 / $2,029.53 / $2,911.62