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Utah rates for HCPCS L6665

Upper Extremity Addition Teflon Or Equal Cable Lining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $17.80 / $17.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $19.28 / $171.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $34.54 / $36.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.08 / $40.35 / $52.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.40 / $53.98 / $53.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.74 / $38.69 / $58.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $27.58 / $39.56