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Wyoming rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.02 / $1,526.02 / $2,672.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,980.50 / $2,980.50 / $2,980.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,980.50 / $2,980.50 / $2,980.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $3,304.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,425.62 / $1,952.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.04 / $1,345.45 / $2,073.29