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Wyoming rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.17 / $2,298.17 / $4,024.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,488.63 / $4,488.63 / $4,488.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,488.63 / $4,488.63 / $4,488.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $4,976.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $4,032.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.34 / $2,701.65 / $3,122.37