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Utah rates for HCPCS L6722

Terminal Device Hook Or Hand Heavy Duty Mechanical Voluntary Closing Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.88 / $902.88 / $902.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.88 / $902.88 / $6,892.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.32 / $1,366.32 / $1,366.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.41 / $1,366.32 / $1,426.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.03 / $1,806.51 / $2,348.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.83 / $2,416.58 / $2,416.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.07 / $1,732.21 / $2,598.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.96 / $1,090.86 / $1,643.25