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Wyoming rates for HCPCS L7403

Addition To Upper Extremity Prosthesis Below Elbow/Wrist Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.72 / $224.72 / $393.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.91 / $438.91 / $438.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.91 / $438.91 / $438.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $486.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $394.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.08 / $198.13 / $444.59