go back

Utah rates for HCPCS L6704

Terminal Device, Sport/Recreational/Work Attachment,Any Materiany

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.39 / $226.39 / $226.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.39 / $303.64 / $2,704.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $527.25 / $562.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.10 / $630.80 / $820.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.64 / $843.85 / $843.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.52 / $604.87 / $907.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.63 / $350.67 / $503.08