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Wyoming rates for HCPCS L6925

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,250.79 / $5,250.79 / $9,195.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,255.44 / $10,255.44 / $10,255.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,255.44 / $10,255.44 / $10,255.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $10,905.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $9,180.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,169.75 / $4,613.50 / $7,109.25