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Utah rates for HCPCS A6511

Compression Burn Garment Lower Trunk Including Leg Openings (Panty) 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
$196.48 / $196.48 / $196.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $177.41 / $329.48