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Utah rates for HCPCS L5845

Addition Endoskeletal Knee-Shin System Stance Flexion Feature Adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.55 / $622.55 / $622.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.55 / $684.23 / $6,093.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $1,207.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,207.83 / $1,287.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.09 / $1,596.92 / $2,075.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.44 / $2,136.21 / $2,136.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.43 / $1,531.24 / $2,296.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.71 / $964.33 / $1,583.93