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Utah rates for HCPCS L6884

Replacement Socket Above Elbow/Elbow Disarticulation Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.01 / $863.01 / $863.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.01 / $1,157.52 / $10,308.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $2,434.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.81 / $1,956.15 / $2,542.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.31 / $2,616.76 / $2,616.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.07 / $1,875.69 / $2,813.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.01 / $1,336.80 / $1,917.81