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Utah rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.71 / $1,407.71 / $1,407.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.71 / $1,726.64 / $15,376.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.90 / $3,523.90 / $3,523.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.44 / $3,523.90 / $3,629.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.82 / $3,272.30 / $4,253.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,924.99 / $4,377.39 / $4,377.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.64 / $3,137.72 / $4,706.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.82 / $2,180.52 / $3,128.24