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Wyoming rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,884.03 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,187.76 / $3,388.44