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Utah rates for HCPCS L6310

Shoulder Disarticulation Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.07 / $1,173.07 / $1,173.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.07 / $1,573.38 / $14,011.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $3,141.52 / $3,235.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.54 / $2,658.94 / $3,456.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,189.29 / $3,556.90 / $3,556.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.42 / $2,549.58 / $3,824.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.66 / $1,817.08 / $2,606.83