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Utah rates for HCPCS L8465

Prosthetic Shrinker Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.97 / $168.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.25 / $37.25 / $37.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $37.25 / $39.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $42.74 / $55.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.26 / $57.17 / $57.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.56 / $40.98 / $61.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.37 / $29.21 / $41.90