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Utah rates for HCPCS L6693

Upper Extremity Addition Locking Elbow Forearm Counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.09 / $986.09 / $986.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.09 / $1,083.77 / $9,651.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,217.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,217.07 / $2,363.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.24 / $2,529.42 / $3,288.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,033.95 / $3,383.65 / $3,383.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.77 / $2,425.40 / $3,638.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.86 / $2,036.58 / $2,301.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.14 / $1,527.44 / $2,191.31