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Wyoming rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.78 / $1,395.78 / $2,444.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,726.12 / $2,726.12 / $2,726.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,726.12 / $2,726.12 / $2,726.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $3,022.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,303.96 / $1,786.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.25 / $1,640.82 / $1,896.34