go back

Utah rates for HCPCS L8631

Metacarpophalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.36 / $764.36 / $764.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.36 / $870.18 / $7,749.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.94 / $1,482.94 / $1,482.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.50 / $1,482.94 / $3,078.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,934.18 / $2,514.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.33 / $1,854.63 / $2,781.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.69 / $1,183.99 / $1,694.33