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Utah rates for HCPCS L7186

Electronic elbow, child, Variety Village or equal, switch controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $6,309.57 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $8,511.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $12,302.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $12,022.64 / $20,892.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $10,000.00 / $12,022.64
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $13,803.84 / $14,125.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $14,125.38 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,248.07 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $7,943.28