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Wyoming rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.58 / $443.58 / $776.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.36 / $866.36 / $866.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.36 / $866.36 / $866.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $960.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $624.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.48 / $391.10 / $602.66