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Utah rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.06 / $1,038.06 / $1,038.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.06 / $1,392.30 / $12,399.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.34 / $2,561.34 / $2,561.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.78 / $2,561.34 / $2,730.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.86 / $2,378.82 / $3,092.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.30 / $3,182.18 / $3,182.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.03 / $2,280.98 / $3,421.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.84 / $1,607.95 / $2,306.81