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Wyoming rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $416.87 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $316.23 / $489.78