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Utah rates for HCPCS L6648

Upper extremity addition, shoulder lock mechanism, external powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.84 / $1,129.84 / $1,129.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.84 / $1,241.77 / $11,058.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.30 / $2,540.30 / $2,540.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.42 / $2,540.30 / $2,616.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.89 / $2,898.21 / $3,767.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.27 / $3,876.96 / $3,876.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,207.67 / $2,779.01 / $4,168.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.21 / $1,750.12 / $2,510.77