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Wyoming rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Facilitymedian $447 · 10th–90th $380–$5620%20%10th90th$447Professionalmedian $479 · 10th–90th $288–$6030%20%40%10th90th$479$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $457.09 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $389.05 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $288.40 / $446.68