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Utah rates for HCPCS L8410

Prosthetic Sheath Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $10.53 / $93.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $16.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $16.62 / $17.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $19.25 / $25.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.01 / $25.66 / $25.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.61 / $18.39 / $27.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $12.40 / $20.67