go back

Utah rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.84 / $1,254.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $281.20 / $334.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.33 / $423.12 / $550.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.52 / $566.01 / $566.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.31 / $405.72 / $608.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.81 / $216.86 / $311.12