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Utah rates for HCPCS L6550

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,754.23 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $4,466.84 / $5,754.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,370.32 / $9,120.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $6,165.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,025.60 / $6,165.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $6,165.95 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,019.95 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,290.87 / $3,388.44