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Wyoming rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.57 / $1,697.57 / $2,972.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.56 / $3,315.56 / $3,315.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,315.56 / $3,315.56 / $3,315.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $3,915.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $1,810.27 / $2,479.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.99 / $1,550.09 / $2,388.64