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Utah rates for HCPCS L6910

Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,023.29 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,258.93 / $1,621.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,630.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $1,819.70
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,698.24 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,288.25