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Utah rates for HCPCS L8600

Implantable breast prosthesis, silicone or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $478.63 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $724.44 / $933.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $933.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,023.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $489.78 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $562.34