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Utah rates for HCPCS L6386

Immediate postsurgical or early fitting, each additional cast change and realignment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.24 / $155.24 / $155.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.24 / $208.21 / $1,854.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.10 / $365.10 / $365.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.52 / $365.10 / $376.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.15 / $351.87 / $457.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.06 / $470.70 / $470.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $337.40 / $506.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.12 / $240.46 / $344.98