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Utah rates for HCPCS L8641

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.32 / $135.32 / $5,068.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.32 / $183.95 / $1,226.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.38 / $373.38 / $373.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.37 / $317.37 / $492.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $408.95 / $531.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.51 / $392.13 / $588.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.25 / $209.60 / $299.95