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Utah rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $199.53 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $257.04 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $309.03 / $537.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $416.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $173.78 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $251.19