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Utah rates for HCPCS L8046

Partial facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,238.72 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $4,677.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $3,235.94
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,019.95 / $3,235.94
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,202.26 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $2,187.76