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Utah rates for HCPCS L6688

Upper Extremity Addition Frame Type Socket Above Elbow Or Elbow Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.78 / $204.78 / $204.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.78 / $245.76 / $2,188.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.47 / $528.47 / $528.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.78 / $528.47 / $563.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.77 / $464.16 / $603.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.74 / $620.91 / $620.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.58 / $445.07 / $667.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.41 / $317.20 / $455.07