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Utah rates for HCPCS L7191

Electronic Elbow Child Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $3,573.07 / $3,573.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,573.07 / $3,594.27 / $32,008.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $8,994.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $12,645.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,456.70 / $13,892.48 / $13,892.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,910.86 / $9,958.12 / $14,937.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,997.29 / $5,534.64 / $8,337.16