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Utah rates for HCPCS L8699

Prosthetic Implant, Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.07 / $7,335.36 / $8,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $2,088.90 / $8,977.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.89 / $269.89 / $269.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.41 / $269.89 / $269.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00