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Utah rates for HCPCS L8630

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.22 / $130.22 / $130.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $131.01 / $1,166.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.68 / $252.68 / $252.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.10 / $252.68 / $625.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $388.06 / $504.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.60 / $372.10 / $558.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.15 / $201.73 / $289.41