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Utah rates for HCPCS L7190

Electronic Elbow Adolescent Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.30 / $2,920.30 / $2,920.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.30 / $3,049.36 / $27,156.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $6,553.03 / $6,553.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $6,553.03 / $6,749.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $7,075.83 / $9,198.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,487.17 / $9,465.41 / $9,465.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,389.94 / $6,784.81 / $10,177.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,084.33 / $4,523.51 / $6,489.56