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Wyoming rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.20 / $1,289.20 / $2,257.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.96 / $2,517.96 / $2,517.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.96 / $2,517.96 / $2,517.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $2,438.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,226.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.96 / $964.75 / $1,486.65