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Utah rates for HCPCS L6630

Upper Extremity Addition Stainless Steel Any Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $83.31 / $83.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.31 / $83.81 / $746.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $172.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $188.84 / $245.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.51 / $252.61 / $252.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.84 / $181.08 / $271.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.54 / $170.54 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.52 / $129.05 / $185.14