go back

Utah rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $247.97 / $247.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.97 / $249.44 / $2,221.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $496.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $1,008.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.47 / $562.04 / $730.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.16 / $751.87 / $751.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.14 / $538.94 / $808.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.81 / $384.10 / $536.54