go back

Utah rates for HCPCS L5848

Addition To Endoskeletal Knee-Shin System Fluid Stance Extension Dampening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.50 / $373.50 / $373.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.50 / $410.50 / $3,655.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $724.63 / $724.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $724.63 / $772.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.98 / $958.04 / $1,245.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.13 / $1,281.58 / $1,281.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.79 / $918.64 / $1,377.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.37 / $578.54 / $829.99