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Utah rates for HCPCS L3908

Wrist Hand Orthosis Wrist Extension Control Cock-Up Non-Molded Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.46 / $74.50 / $86.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $55.52 / $201.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $93.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $48.22 / $62.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.83 / $64.50 / $64.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $46.24 / $69.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.32 / $32.65 / $39.63