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Wyoming rates for HCPCS L6930

Below elbow, 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
$5,115.25 / $5,115.25 / $8,958.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.71 / $9,990.71 / $9,990.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,990.71 / $9,990.71 / $9,990.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $9,834.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $6,300.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,634.18 / $4,020.92 / $6,196.12