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Wyoming rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.56 / $217.56 / $381.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.92 / $424.92 / $424.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.92 / $424.92 / $424.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $481.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $432.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.19 / $289.43 / $334.51