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Utah rates for HCPCS L6805

Addition to terminal device, modifier wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.52 / $131.52 / $131.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.52 / $164.66 / $1,466.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.52 / $299.52 / $299.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.65 / $299.52 / $308.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.45 / $312.02 / $405.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.26 / $417.40 / $417.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.68 / $299.19 / $448.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.95 / $203.73 / $292.27