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Wyoming rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.47 / $193.47 / $302.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.38 / $337.38 / $337.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.38 / $337.38 / $337.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $399.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $215.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $172.36 / $191.35