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Wyoming rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.13 / $286.13 / $501.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.84 / $558.84 / $558.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.84 / $558.84 / $558.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $643.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $360.31 / $493.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.04 / $380.66 / $439.93