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Wyoming rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.13 / $1,821.13 / $3,189.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,556.90 / $3,556.90 / $3,556.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,556.90 / $3,556.90 / $3,556.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $4,886.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $2,293.31 / $3,141.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.31 / $1,817.08 / $2,800.07