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Utah rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $229.09 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $281.84 / $363.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $338.84 / $575.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $416.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $489.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $251.19 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $288.40