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Wyoming rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.24 / $1,070.24 / $1,874.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.31 / $2,090.31 / $2,090.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.31 / $2,090.31 / $2,090.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $2,099.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,618.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.02 / $813.25 / $1,253.19