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Wyoming rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.38 / $340.38 / $596.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.80 / $664.80 / $664.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.80 / $664.80 / $664.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $738.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $436.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.82 / $403.94 / $466.85