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Utah rates for HCPCS L6200

Elbow disarticulation, molded socket, outside locking hinge, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.58 / $1,054.58 / $1,054.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.58 / $1,414.46 / $12,596.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.60 / $2,694.60 / $2,694.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $1,967.06 / $4,623.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.49 / $2,671.77 / $3,473.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,204.68 / $3,574.06 / $3,574.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.19 / $2,561.89 / $3,842.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.94 / $1,633.54 / $2,343.53