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Wyoming rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $110.00 / $192.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.84 / $214.84 / $214.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.84 / $214.84 / $214.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $199.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.18 / $87.61 / $135.00