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Utah rates for HCPCS L8630

Metacarpophalangeal joint implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $229.09 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $389.05 / $501.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $537.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $269.15 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $302.00