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Wyoming rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.33 / $1,442.04 / $2,254.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.73 / $2,514.73 / $2,514.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,514.73 / $2,514.73 / $2,514.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $2,124.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $880.96 / $1,206.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.83 / $963.51 / $1,451.39