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Utah rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.92 / $99.40 / $759.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $114.84 / $1,022.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $274.27 / $475.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $225.30 / $292.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.63 / $216.03 / $324.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.02 / $153.97 / $220.89