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Utah rates for HCPCS L6905

Hand Restoration (Casts Shading And Measurements Included) Partial Hand With Glove Multiple Fingers Remaining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.55 / $567.55 / $567.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.55 / $761.24 / $6,779.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.90 / $1,498.90 / $1,498.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.20 / $1,498.90 / $1,543.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.60 / $1,286.46 / $1,672.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.05 / $1,720.91 / $1,720.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.94 / $1,233.55 / $1,850.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.79 / $879.14 / $1,261.25