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Wyoming rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.87 / $96.87 / $169.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.20 / $189.20 / $189.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.20 / $189.20 / $189.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $257.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $191.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.82 / $96.06 / $148.03