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Utah rates for HCPCS L6050

Wrist Disarticulation Molded Socket Flexible Elbow Hinges Triceps Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.33 / $734.33 / $734.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.33 / $981.79 / $8,743.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $1,424.68 / $1,424.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,040.02 / $3,513.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.55 / $1,791.22 / $2,328.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,148.48 / $2,396.13 / $2,396.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.44 / $1,717.55 / $2,576.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.03 / $1,137.47 / $1,627.77