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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
$108.28 / $108.28 / $108.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $108.92 / $970.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $244.07 / $244.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $244.07 / $251.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $257.01 / $334.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.27 / $343.80 / $343.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.77 / $246.44 / $369.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $167.72 / $240.63