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Utah rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.35 / $156.35 / $156.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.35 / $156.35 / $1,322.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $285.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.39 / $311.93 / $405.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.15 / $417.27 / $417.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.61 / $299.10 / $448.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $188.91 / $284.56