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Utah rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.71 / $1,000.71 / $1,000.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.71 / $1,342.20 / $11,952.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $2,479.82 / $2,554.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.68 / $2,478.53 / $3,222.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,972.90 / $3,315.56 / $3,315.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.00 / $2,376.59 / $3,564.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.60 / $1,550.09 / $2,223.80