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Utah rates for HCPCS K0019

Arm Pad Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $6.59 / $48.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $13.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $10.65 / $18.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $11.39 / $16.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $8.06 / $14.65