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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
$371.54 / $446.68 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $512.86 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $602.56