go back

Utah rates for HCPCS L6320

Shoulder Disarticulation Passive Restoration (Shoulder Cap Only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.62 / $660.62 / $660.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.62 / $886.05 / $7,890.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $1,637.27 / $1,637.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,637.27 / $1,686.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.73 / $1,596.35 / $2,075.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.76 / $2,135.44 / $2,135.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.01 / $1,530.69 / $2,296.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.91 / $1,366.91 / $1,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.86 / $1,023.29 / $1,705.48