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Utah rates for HCPCS L6885

Replacement Socket Shoulder Disarticulation/Interscapular Thoracic Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $1,231.29 / $1,231.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.29 / $1,651.45 / $14,707.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $3,396.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.33 / $2,790.87 / $3,628.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.54 / $3,733.38 / $3,733.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.91 / $2,676.09 / $4,014.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.07 / $1,907.24 / $2,736.19