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Utah rates for HCPCS E1840

Dynamic Adjustable Shoulder Flexion / Abduction / Rotation Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.85 / $1,463.85 / $1,463.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.85 / $1,463.85 / $3,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.35 / $248.35 / $6,067.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $475.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.74 / $226.76 / $2,147.04