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Utah rates for HCPCS L8330

Truss Addition To Standard Pad Scrotal Pad (Special Coverage Instructions Apply. See Cim: 70-1 70-2 And Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $19.07 / $19.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $25.60 / $227.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $37.03 / $37.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $37.03 / $39.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $43.25 / $56.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.88 / $57.86 / $57.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $41.48 / $62.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.69 / $29.56 / $42.41