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Utah rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Facilitymedian $2,291 · 10th–90th $1,175–$4,0740%20%40%10th90th$2,291Professionalmedian $2,951 · 10th–90th $1,175–$17,3780%10%10th90th$2,951$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,187.76 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $3,019.95 / $3,801.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,073.80 / $4,073.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,951.21 / $4,466.84
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,073.80 / $4,168.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,168.69 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,398.83 / $2,754.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,819.70 / $3,019.95