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Wyoming rates for HCPCS L6935

Below elbow, 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
$5,491.85 / $5,491.85 / $9,617.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,726.27 / $10,726.27 / $10,726.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,726.27 / $10,726.27 / $10,726.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $7,503.37 / $11,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $5,477.46 / $7,503.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,247.81 / $6,266.48 / $7,242.34