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Wyoming rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.69 / $1,856.69 / $3,251.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,626.35 / $3,626.35 / $3,626.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,626.35 / $3,626.35 / $3,626.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $3,321.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $1,551.26 / $2,125.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.78 / $1,852.57 / $2,141.06