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Utah rates for HCPCS L6635

Upper Extremity Addition Lift Assist For Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.09 / $68.09 / $68.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $91.32 / $813.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $166.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $166.47 / $177.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.53 / $181.51 / $235.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.71 / $242.80 / $242.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.26 / $174.04 / $261.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.23 / $105.47 / $151.30