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Utah rates for HCPCS A6510

Compression Burn Garment Trunk Including Arms Down To Leg Openings (Leotard) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.58 / $309.58 / $309.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $177.41 / $329.48