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Utah rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.47 / $260.47 / $260.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.47 / $280.26 / $2,495.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $649.92 / $692.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.05 / $787.19 / $1,023.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.20 / $1,053.03 / $1,053.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.63 / $754.81 / $1,132.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.29 / $403.46 / $577.37