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Utah rates for HCPCS L6100

Below Elbow Molded Socket Flexible Elbow Hinge Triceps Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.99 / $743.99 / $743.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.99 / $817.03 / $7,276.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.43 / $1,964.43 / $1,964.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.03 / $1,964.43 / $2,094.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.22 / $1,772.94 / $2,304.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.57 / $2,371.67 / $2,371.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.52 / $1,700.02 / $2,550.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.54 / $1,152.43 / $1,653.31