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Utah rates for HCPCS L6400

Below Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.99 / $896.99 / $896.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.99 / $1,203.08 / $10,714.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $2,188.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.73 / $2,710.86 / $3,524.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,251.57 / $3,626.35 / $3,626.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.96 / $2,599.37 / $3,899.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.53 / $1,389.43 / $1,988.32