go back

Utah rates for HCPCS L6300

Shoulder Disarticulation Molded Socket Shoulder Bulkhead Humeral Section Internal Locking Elbow Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.20 / $1,440.20 / $1,440.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.20 / $1,931.67 / $17,202.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $3,813.78 / $3,813.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.06 / $3,813.78 / $3,928.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.62 / $3,488.10 / $4,534.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,183.83 / $4,666.06 / $4,666.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,657.02 / $3,344.64 / $5,016.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.27 / $2,230.86 / $3,200.45