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Wyoming rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.78 / $1,339.78 / $2,346.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.76 / $2,616.76 / $2,616.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.76 / $2,616.76 / $2,616.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $3,513.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,283.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.22 / $1,336.80 / $2,059.96