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Utah rates for HCPCS L6625

Upper Extremity Addition Rotation Wrist Unit With Cable Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $205.60 / $205.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.60 / $275.75 / $2,455.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $440.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.92 / $466.01 / $605.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.96 / $623.39 / $623.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.98 / $446.85 / $670.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.54 / $318.47 / $456.88