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Wyoming rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.49 / $1,698.49 / $2,974.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,317.35 / $3,317.35 / $3,317.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,317.35 / $3,317.35 / $3,317.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $3,679.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $2,476.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.85 / $1,585.34 / $2,442.96