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Wyoming rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.17 / $117.17 / $205.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.84 / $228.84 / $228.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.84 / $228.84 / $228.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $251.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $175.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.01 / $138.69 / $160.29