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Utah rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.82 / $1,191.82 / $1,191.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.82 / $1,466.50 / $13,059.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $2,717.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,717.61 / $2,844.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.17 / $3,601.89 / $4,682.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,320.32 / $4,818.29 / $4,818.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.70 / $3,453.75 / $5,180.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.88 / $1,846.11 / $2,648.48