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Wyoming rates for HCPCS L6500

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,425.96 / $2,425.96 / $4,248.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,738.20 / $4,738.20 / $4,738.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,738.20 / $4,738.20 / $4,738.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $2,970.85 / $4,964.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,168.71 / $2,970.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.91 / $1,847.62 / $4,215.93