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Wyoming rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,868.43 / $4,868.43 / $8,525.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,508.64 / $9,508.64 / $9,508.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,508.64 / $9,508.64 / $9,508.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $9,913.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,775.54 / $6,541.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,611.78 / $5,328.19 / $6,157.94