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Utah rates for HCPCS L6616

Upper Extremity Addition Additional Disconnect Insert For Locking Wrist Unit Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $25.07 / $25.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $25.22 / $224.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $50.36 / $53.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.37 / $56.83 / $73.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.17 / $76.03 / $76.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.30 / $54.50 / $81.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $38.84 / $55.72