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Utah rates for HCPCS L6682

Upper extremity addition, test socket, elbow disarticulation or above elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $234.42 / $302.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $281.84 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $323.59 / $371.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $204.17 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $229.09