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Utah rates for HCPCS L6600

Upper extremity additions, polycentric hinge, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $134.90 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $165.96 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $194.98 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $223.87 / $251.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $151.36 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $169.82