go back

Utah rates for HCPCS L6637

Upper extremity addition, nudge control elbow lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $234.42 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $323.59 / $416.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $389.05 / $660.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $467.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $436.52 / $524.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $257.04 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $331.13