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Wyoming rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.69 / $375.69 / $657.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.77 / $733.77 / $733.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.77 / $733.77 / $733.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $1,093.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $644.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $374.86 / $577.64