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Utah rates for HCPCS L6881

Automatic Grasp Feature Addition To Upper Limb Electric Prosthetic Terminal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.00 / $1,420.00 / $1,420.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.00 / $1,560.66 / $13,898.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $2,801.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $5,778.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,258.30 / $3,642.43 / $4,735.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,368.93 / $4,872.52 / $4,872.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,774.58 / $3,492.62 / $5,238.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.01 / $2,199.56 / $3,155.55