go back

Wyoming rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,494.73 / $2,494.73 / $4,368.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,872.52 / $4,872.52 / $4,872.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,872.52 / $4,872.52 / $4,872.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $5,402.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $4,376.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.99 / $2,932.74 / $3,389.45