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Utah rates for HCPCS L6570

Interscapular Thoracic Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.96 / $1,691.96 / $1,691.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.96 / $2,269.32 / $20,209.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.38 / $3,943.38 / $3,943.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,878.67 / $3,943.38 / $4,061.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,858.05 / $4,609.76 / $5,992.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,529.21 / $6,166.52 / $6,166.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,511.44 / $4,420.16 / $6,630.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,366.36 / $2,620.82 / $3,759.90