go back

Utah rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $120.23 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $177.83 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $245.47 / $245.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $134.90 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $151.36