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Utah rates for HCPCS L6632

Upper Extremity Addition Latex Suspension Sleeve Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.11 / $25.11 / $25.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $25.26 / $225.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $48.73 / $48.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $48.73 / $59.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.23 / $75.90 / $98.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.04 / $101.53 / $101.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $72.78 / $109.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $38.90 / $58.60