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Utah rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.85 / $130.85 / $130.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $175.50 / $1,562.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $280.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $289.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.87 / $296.58 / $385.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.74 / $396.74 / $396.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.92 / $284.38 / $426.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.01 / $202.68 / $290.77