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Utah rates for HCPCS L6935

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.15 / $3,034.15 / $3,034.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,034.15 / $3,134.05 / $27,910.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $7,503.37 / $7,503.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $7,503.37 / $7,998.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,971.39 / $8,018.38 / $10,423.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,617.70 / $10,726.27 / $10,726.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,107.91 / $7,688.59 / $11,532.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.56 / $4,699.85 / $6,725.70