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Utah rates for HCPCS L6690

Upper extremity addition, frame type socket, interscapular-thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.81 / $265.81 / $265.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.81 / $324.64 / $2,891.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.50 / $695.50 / $695.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.72 / $695.50 / $741.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.55 / $602.50 / $783.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.67 / $805.96 / $805.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.94 / $577.72 / $866.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.76 / $411.74 / $590.69