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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
$123.40 / $123.40 / $123.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.40 / $165.52 / $1,473.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.27 / $305.27 / $305.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.85 / $305.27 / $314.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.42 / $279.70 / $363.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.50 / $374.18 / $374.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $268.20 / $402.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.59 / $191.15 / $274.23