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Wyoming rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.31 / $1,409.31 / $2,203.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,457.65 / $2,457.65 / $2,457.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,457.65 / $2,457.65 / $2,457.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $2,076.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $1,179.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.07 / $941.64 / $1,045.41