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Utah rates for HCPCS L8642

Hallux implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $190.55 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $269.15 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $389.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $363.08 / $380.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $223.87 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $257.04