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Utah rates for HCPCS L4060

Replace High Roll Cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.31 / $115.31 / $115.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.31 / $159.88 / $1,377.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.07 / $227.07 / $227.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.76 / $227.07 / $242.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.07 / $348.50 / $453.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.01 / $466.19 / $466.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $334.17 / $501.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.86 / $174.89 / $214.82