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Wyoming rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.55 / $461.55 / $808.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.45 / $901.45 / $901.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.45 / $901.45 / $901.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $761.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $315.80 / $432.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $456.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.17 / $345.39 / $532.23