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Utah rates for HCPCS L6637

Upper Extremity Addition Nudge Control Elbow Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.94 / $141.94 / $141.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.94 / $166.75 / $1,484.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.70 / $315.70 / $315.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.47 / $315.70 / $336.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.47 / $321.74 / $418.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.91 / $430.39 / $430.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.08 / $308.50 / $462.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.52 / $219.87 / $315.43