go back

Wyoming rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $130.50 / $228.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.87 / $254.87 / $254.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.87 / $254.87 / $254.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $352.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $225.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $173.61 / $200.64