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Wyoming rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.16 / $207.16 / $362.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.60 / $404.60 / $404.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.60 / $404.60 / $404.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $542.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $274.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $206.69 / $318.51