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Utah rates for HCPCS L6698

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $192.28 / $192.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.28 / $257.89 / $2,296.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.20 / $386.20 / $386.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.93 / $281.93 / $699.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.29 / $581.12 / $755.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.03 / $777.37 / $777.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.65 / $557.22 / $835.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.93 / $297.85 / $427.29