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Utah rates for HCPCS L6588

Preparatory Shoulder Disarticulation Or Interscapular Thoracic Single Wall Plastic Socket Shoulder Joint Locking Elbow Friction Wrist Chest Strap Fair Lead Cable Control Usmc Or Equal Pylon No Cover Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.64 / $1,092.64 / $1,092.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.64 / $1,257.43 / $11,198.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,782.58 / $2,782.58 / $2,782.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.28 / $2,031.28 / $5,036.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.50 / $2,476.62 / $3,219.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.60 / $3,312.99 / $3,312.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.54 / $2,374.76 / $3,562.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.16 / $1,692.48 / $2,428.09