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Utah rates for HCPCS L8691

Osseointegrated Snd Proc Rpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.42 / $926.42 / $926.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $926.42 / $5,854.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.90 / $1,650.90 / $1,650.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.27 / $1,650.90 / $1,700.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.21 / $1,537.45 / $2,006.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.10 / $2,056.66 / $2,056.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.21 / $1,813.33 / $2,211.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.32 / $1,224.69 / $1,235.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.78 / $926.78 / $2,053.57